Ms Karen Ann Crouse, CNM - Medicare Advanced Practice Midwife in Ephrata, PA

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Ms Karen Ann Crouse, CNM is a medicare enrolled "Advanced Practice Midwife" in Ephrata, Pennsylvania. Her current practice location is 175 Martin Ave, Suite 125, Ephrata, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 721-5700.

Ms Karen Ann Crouse is licensed to practice in Pennsylvania (license number MW010184) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1972757631.

Contact Information

Ms Karen Ann Crouse, CNM
175 Martin Ave, Suite 125,
Ephrata, PA 17522-1761
(717) 721-5700
(717) 721-5712

Map and Direction




Provider's Profile

Full NameMs Karen Ann Crouse
GenderFemale
SpecialityAdvanced Practice Midwife
Location175 Martin Ave, Ephrata, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972757631
  • Provider Enumeration Date: 11/07/2008
  • Last Update Date: 01/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345482162
  • Enrollment ID: I20130807000694

Medical Identifiers

Medical identifiers for Ms Karen Ann Crouse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972757631NPI-NPPES
MW010184OtherPALICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife MW010184 (Pennsylvania)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Karen Ann Crouse allows following entities to bill medicare on her behalf.
Entity NameSummit Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306840814
PECOS PAC ID: 5496659484
Enrollment ID: O20031121000259
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Karen Ann Crouse is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Karen Ann Crouse, CNM
3421 Concord Rd,
York, PA 17402-9001

Ph: (717) 721-5700		Ms Karen Ann Crouse, CNM
175 Martin Ave, Suite 125,
Ephrata, PA 17522-1761

Ph: (717) 721-5700

Reviews and Comments


Advanced Practice Midwife Nurses in Ephrata, PA

Danica Beebe, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 175 Martin Ave, Suite 125, Ephrata, PA 17522
Phone: 717-721-5700    Fax: 717-721-5712
Ms. Lucinda Grace Manges, C.N.M
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 175 Martin Ave, Suite 125, Ephrata, PA 17522
Phone: 717-721-5700    Fax: 717-721-5712
Joy S Yoder, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 175 Martin Ave, Suite 125, Ephrata, PA 17522
Phone: 717-721-5700    Fax: 717-721-5712
Mrs. Lori Jean Conley, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 175 Martin Ave, Suite 125, Ephrata, PA 17522
Phone: 717-751-5700    Fax: 717-721-5712

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.