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NPI 1477309128ActiveOrganization· Nurse Practitioner· O Fallon, IL

Nurse Practitioner in O Fallon, Illinois, registered in NPPES in April 2024. The authorized official on file is Mikasa L. Crawford, FNP, Fnp.

Overview

NPI1477309128
StatusActive
Entity typeOrganization
NPI issuedApr 24, 2024
Last updated in NPPESApr 25, 2024
Certified by providerApr 25, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in O Fallon

All Nurse Practitioner providers in Illinois →