MAKENZI CROUSE PA NPI 1558542092

NPI Information

NPI: 1558542092
Provider Name: MAKENZI CROUSE, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: ORTHOPEDIC SPECIALISTS OF SW

PECOS Registration: Yes

Address:
2531 CLEVELAND AVE
SUITE 1
FORT MYERS, FL
ZIP 33901
Phone: (239) 334-7000
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Makenzi Crouse, PA is a surgical physician assistant in Fort Myers, FL with 17 years of experience. Makenzi Crouse, PA NPI is 1558542092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2531 CLEVELAND AVE
SUITE 1
FORT MYERS, FL
ZIP 33901-900
Phone: (239) 334-7000
Fax: (239) 334-7070

The NPI 1558542092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 4/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA9104421	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00746161	OTHER	FLORIDA	RR MEDICARE
2	PA9104421	OTHER	FLORIDA	STATE LICENSE
3	AH872Z	MEDICARE PIN	FLORIDA
4	3894080001	MEDICARE NSC	FLORIDA
5	292951100	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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