Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MS. RENITA L. CROUCH
Active
Individual
MS. RENITA L. CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA096
KY
363AM0700X
Medical Physician Assistant
PA096
KY
363AS0400X
Surgical Physician Assistant
PA096
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
95002556
—
KY
01
—
970025767
RR MEDICARE PIN
GA
01
—
CB5773
RR MEDICARE GROUP
GA
Enumeration date
10/02/2006
Last updated
08/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers