Deborah A Croucher, PA-C
Physician Assistant, Surgical in Lexington, KY. Individual provider (NPI-1).
NPI number1699770503
StatusActive
Last updated in NPPESDec 3, 2020
Details
- NPI
- 1699770503
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Deborah A Croucher
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2005
- Certification date
- Dec 3, 2020
- Last updated
- Dec 3, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA028 | KY | Yes |
Practice location
1401 Harrodsburg RdSte B485
Lexington, KY 40504-3797
Phone 859-277-6143 · Fax 859-277-8659
Mailing address
230 Lexington Green CirSte 600
Lexington, KY 40503-3326
Phone 859-971-4695 · Fax 859-971-4604
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