DR. DONNA J CROWE MD
NPI 1811963747
Specialist in Nashville, TN
NPI Status: Active since February 28, 2006
Contact Information
300 20TH AVE N
SUITE 505
NASHVILLE, TN
ZIP 37203
Phone: (615) 340-4655
Fax: (615) 340-4596
- Individual
- Female
- Specialist
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About DONNA CROWE
This page provides the complete NPI Profile along with additional information for Donna Crowe, a provider established in Nashville, Tennessee with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1811963747 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number MD28844 (TN). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1811963747
- Provider Name
- DR. DONNA J CROWE MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 300 20TH AVE N SUITE 505 NASHVILLE, TN 37203
- Location Phone
- (615) 340-4655
- Location Fax
- (615) 340-4596
- Mailing Address
- 300 20TH AVE N SUITE 505 NASHVILLE, TN 37203
- Mailing Phone
- (615) 340-4655
- Mailing Fax
- (615) 340-4596
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-28-2006
- Last Update Date
- 11-18-2016
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Donna Crowe opted out of Medicare effective on 04-22-2013 until 04-22-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- MD28844
- License State
- TN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Secure - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - EPO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
G50769 | MEDICARE UPIN (02) | TN | |
3814240 | MEDICARE ID-TYPE UNSPECIFIED (04) | TN |
Medicare Participation & PECOS Enrollment Status
Donna Crowe is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-22-2013
Opt-Out End Date: 04-22-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. DONNA J CROWE MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 1 | 1 | 9 | 6 | 3 | 7 | 4 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 2 | 1 | 18 | 6 | 6 | 7 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 2 + 1 + 1 + 8 + 6 + 6 + 7 + 8 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1811963747 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1104810274 | DR. JAMES BREVARD HAYNES MD Individual | Internal Medicine (Sleep Medicine) | 300 20TH AVE N SUITE G-8 NASHVILLE, TN 37203 (615) 284-7533 |
1225023393 | MID-STATE PULMONARY ASSOCIATES, PLLC Organization | Internal Medicine (Pulmonary Disease) | 300 20TH AVE N SUITE 503 NASHVILLE, TN 37203 (615) 284-5098 |
1679568745 | NASHVILLE INPATIENT MANAGEMENT SERVICES, PLC Organization | Internal Medicine (Critical Care Medicine) | 300 20TH AVE N SUITE 503 NASHVILLE, TN 37203 (615) 284-2894 |
1235105248 | GURLEY SURGERY CENTER Organization | Clinic/Center (Ambulatory Surgical) | 300 20TH AVE N SUITE 102 NASHVILLE, TN 37203 (615) 284-1500 |
1235106170 | DR. ANNE C WISE MD Individual | Specialist | 300 20TH AVE N SUITE302 NASHVILLE, TN 37203 (615) 340-4655 |
1275509119 | DR. SHARON M PIPER MD Individual | Specialist | 300 20TH AVE N SUITE 302 NASHVILLE, TN 37203 (615) 340-4655 |
1669449427 | DR. SHALI R SCOTT MD Individual | Specialist | 300 20TH AVE N SUITE 302 NASHVILLE, TN 37203 (615) 340-4655 |
1558304725 | DR. MANJU KANDULA M.D. Individual | Psychiatry & Neurology (Neurology) | 300 20TH AVE N 9TH FLOOR NASHVILLE, TN 37203 (615) 284-1400 |
1891739322 | ROBERT DALE PILKINTON JR. M.D. Individual | Ophthalmology | 300 20TH AVE N SUITE 504 NASHVILLE, TN 37203 (615) 329-7890 |
1801831714 | DR. PARMINDER BOLINA M.D. Individual | Internal Medicine | 300 20TH AVE N 9TH FLOOR NASHVILLE, TN 37203 (615) 284-1400 |
1669417127 | JOYCE EYLER P.A. Individual | Physician Assistant | 300 20TH AVE N 9TH FLOOR NASHVILLE, TN 37203 (615) 284-1400 |
1417992769 | DR. ALLEGRA PATTEN M.D. Individual | Psychiatry & Neurology (Neurology) | 300 20TH AVE N 7TH FLOOR NASHVILLE, TN 37203 (615) 284-1400 |
1215966544 | MS. AMY L COX N.P. Individual | Nurse Practitioner (Acute Care) | 300 20TH AVE N SUITE 301 NASHVILLE, TN 37203 (615) 329-0570 |
1285651182 | FRIST SCOVILLE MEDICAL GROUP Organization | Clinic/Center (Ambulatory Surgical) | 300 20TH AVE N 8TH FLOOR NASHVILLE, TN 37203 (615) 284-1335 |
1093736720 | TAMMY S JACKSON NP Individual | Nurse Practitioner | 300 20TH AVE N STE 301 NASHVILLE, TN 37203 (615) 329-0570 |
1841202652 | DR. CORNELIA R GRAVES MD Individual | Specialist | 300 20TH AVE N SUITE 702 NASHVILLE, TN 37203 (615) 284-8636 |
1578575486 | DR. AUDREY H KANG M.D. Individual | Specialist | 300 20TH AVE N SUITE 702 NASHVILLE, TN 37203 (615) 284-8636 |
1215040837 | DR. HAROLD B COLLINS M.D Individual | Specialist | 300 20TH AVE N SUITE 702 NASHVILLE, TN 37203 (615) 284-8636 |
1356434864 | JANE E HURTIG NP Individual | Nurse Practitioner | 300 20TH AVE N STE 301 NASHVILLE, TN 37203 (615) 329-0570 |
1902991433 | NASHVILLE NEUROSCIENCE GROUP Organization | Specialist | 300 20TH AVE N STE 106 NASHVILLE, TN 37203 (615) 284-4680 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811963747, enumerated in the NPI registry as an "individual" on February 28, 2006
The provider is located at 300 20th Ave N Suite 505 Nashville, Tn 37203 and the phone number is (615) 340-4655
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
No, the provider signed an affidavit on April 22, 2013 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 22, 2025.
This NPI record was last updated on February 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.