Shidawn Tevin Crank, RN in Gallup, NM - Medicare Nurse Practitioner

Shidawn Tevin Crank, RN is a medicare enrolled "Nurse Practitioner - Acute Care" in Gallup, New Mexico. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dhhs,phs,naihs Gallup Indian Medical Center and her current practice location is 516 E Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Shidawn Tevin Crank is licensed to practice in New Mexico (license number 81064) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033729744.

Contact Information

	Shidawn Tevin Crank, RN
	516 E Nizhoni Blvd, Gallup, NM 87301-5748
	(505) 722-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Shidawn Tevin Crank
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	516 E Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shidawn Tevin Crank graduated from nursing school in 2024

NPI Data:

NPI Number: 1033729744
Provider Enumeration Date: 08/06/2020
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6608304084
Enrollment ID: I20250113002979

Medical Identifiers

Medical identifiers for Shidawn Tevin Crank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033729744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	88603 (New Mexico)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	81064 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gallup Indian Medical Center	Gallup, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs,phs,naihs Gallup Indian Medical Center	3173436409	134

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. Shidawn Tevin Crank allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Shidawn Tevin Crank 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 Address	Practice Location Address
Shidawn Tevin Crank, RN 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000	Shidawn Tevin Crank, RN 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000

Reviews and Comments

Nurse Practitioner Nurses in Gallup, NM

Vernon Anthony Osborn, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 505-863-3828 Fax: 505-443-8345
Mrs. Gail Crawford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000
Mrs. Relindis Mana Akwanga, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 N Fifth St, Gallup, NM 87301 Phone: 505-863-3120 Fax: 505-863-2961
Donna J Rich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2025 E Aztec Ave, Gallup, NM 87301 Phone: 432-888-4130
Ms. Maria Elena Torres, ARNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1496
John Simmons, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 Nm Highway 564, Gallup, NM 87301 Phone: 505-542-0090 Fax: 520-542-0155
Mrs. Sanaa Baker, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820

Shidawn Tevin Crank, RN - Medicare Nurse Practitioner in Gallup, NM