Individual provider Active NPI

Mary W Crowell, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Hyannis, MA
National Provider Identifier
1003854365
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
217447 Issued in MA
Practice address
1030 Falmouth Rd
Hyannis, MA 02601-2324
Phone
(774) 470-5080
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 217447 MA Primary

Addresses

Primary practice location

1030 Falmouth Rd
Hyannis, MA 02601-2324

Mailing address

25 Communications Way
Macc-Revenue Cycle
Hyannis, MA 02601-1866
Phone (508) 957-8664

Other practice location 1

40 Quinlan Way
Suite 206
Hyannis, MA 02601
Phone (508) 778-8835

Other identifiers 3

IdentifierTypeStateIssuer
AA8103OtherMAHP HC
2023580MedicaidMA
J26912OtherMABCBS

Other names 1

  • Mary Woudenberg Meckler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000494 MA Practitioner - Endocrinology 9931005485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Harvard Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1030 Falmouth Rd
Hyannis, MA 02601-2324

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
217447MAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. Endocrinology, Diabetes & Metabolism CurrentSince Dec 1, 2003 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Dec 1, 2003 Accepting new patients

Locations

27 Park St
Fl 2
Hyannis, MA 02601
Phone (508) 862-5114

1030 Falmouth Rd
Hyannis, MA 02601
Phone (774) 470-5080

1030 Falmouth Rd
Ste 201
Hyannis, MA 02601
Phone (508) 775-0202

25 Communication Way
Hyannis, MA 02601
Phone (508) 957-8669

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

40 Quinlan Way
Ste 206
Hyannis, MA 02601
Phone (508) 778-8835

Interoperability endpoints

  • Direct secure messaging: mcrowell14941@direct.capecodhealthcare.masshiway.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1003854365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COMMUNICATIONS WAY",
            "address_2": "MACC-REVENUE CYCLE",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026011866",
            "telephone_number": "508-957-8664",
            "fax_number": "508-957-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 FALMOUTH RD",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026012324",
            "telephone_number": "774-470-5080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Quinlan Way",
            "address_2": "Suite 206",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "02601",
            "country_code": "US",
            "telephone_number": "508-778-8835",
            "fax_number": "508-790-8989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROWELL",
        "first_name": "MARY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "217447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HP HC",
            "identifier": "AA8103",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2023580",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J26912",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WOUDENBERG MECKLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.