Individual provider Active NPI

Bethany A. Croke, APRN

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1073891495
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2267467 Issued in MA
Practice address
75 Francis St
Boston, MA 02115
Phone
(617) 732-5500
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2267467 MA Primary

Addresses

Primary practice location

75 Francis St
Boston, MA 02115

Mailing address

800 Huntington Ave
Boston, MA 02115-6303
Phone (857) 307-2200

Other practice location 1

10 Gove St
East Boston, MA 02128-1920
Phone (617) 569-5800 ext. 4872

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000040 MA Practitioner - Nurse Practitioner 5193997849 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Brookline PL
Brookline, MA 02445-7224
Phone (857) 307-4400

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

1337 Hyde Park Ave
Hyde Park, MA 02136-2713
Phone (617) 364-9880

20 Patriot PL
Foxborough, MA 02035-1375
Phone (508) 718-4000

301 S Huntington Ave
Jamaica Plain, MA 02130-4807
Phone (857) 307-3300

315 Norwood Park S
Norwood, MA 02062-4681
Phone (857) 307-3900

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

800 Huntington Ave
Boston, MA 02115-6303
Phone (617) 525-9544

850 Boylston St
Chestnut Hill, MA 02467-2477
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2267467MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medical Associates-Ebnhc CurrentSince Jul 15, 2013 Accepting new patients
Neighborhealth Corporation CurrentSince Jul 15, 2013 Accepting new patients
Brigham & Womens Physicians Organization Inc CurrentSince Jun 10, 2024 Accepting new patients
Brigham and Women'S Hospital Current Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

75 Francis St
Boston, MA 02115

800 Huntington Ave
Boston, MA 02115
Phone (617) 525-9544

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

Interoperability endpoints

  • Direct secure messaging: croke.bethany.bwh@direct.partners.masshiway.net

Organizations & group practices 5

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 3

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1073891495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156303",
            "telephone_number": "857-307-2200",
            "fax_number": "617-568-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-732-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Gove St",
            "address_purpose": "LOCATION",
            "city": "East Boston",
            "state": "MA",
            "postal_code": "021281920",
            "country_code": "US",
            "telephone_number": "617-569-5800 x4872",
            "fax_number": "617-568-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROKE",
        "first_name": "BETHANY",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2267467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.