Shidawn Tevin Crank, RN
NPI 1033729744ActiveIndividual· Nurse Practitioner, Acute Care· Gallup, NM
Nurse Practitioner, Acute Care (RN) with Dhhs,phs,naihs, Gallup Indian Medical Center, practicing in Gallup, New Mexico. Enrolled in Medicare as practitioner - nurse practitioner. Lists Gallup Indian Medical Center as a hospital affiliation.
Overview
| NPI | 1033729744 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Aug 6, 2020 |
| Last updated in NPPES | Oct 30, 2024 |
| Certified by provider | Oct 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 81064 | NM |
| Registered Nurse | 163W00000X | 88603 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Dhhs,phs,naihs, Gallup Indian Medical CenterGallup, NM · 186 clinicians
Hospital affiliation
- Gallup Indian Medical CenterGallup, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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