NPIMap

Individual provider Active NPI

Jennifer L Craig, CRNP

  • Family Nurse Practitioner
  • Lansdale, PA
National Provider Identifier
1093050759
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012593 Issued in PA
Practice address
826 N Broad St
Lansdale, PA 19446
Phone
(215) 855-1054
Fax
(215) 361-7445
NPI assigned
Dec 6, 2012
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP012593 PA Primary
Primary Care Nurse Practitioner 363LP2300X SP012593 PA

Addresses

Primary practice location

826 N Broad St
Lansdale, PA 19446

Mailing address

826 N Broad St
Lansdale, PA 19446-2321
Phone (215) 855-1054

Other practice location 1

1776 E Lancaster Ave
Paoli, PA 19301-1550
Phone (401) 770-1707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130208000084 PA Practitioner - Nurse Practitioner 6901050434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

420 Pottstown Ave
Pennsburg, PA 18073-1423
Phone (215) 679-9321

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC CurrentSince Jan 15, 2024 Accepting new patients
Green and Seidner Family Practice Associates PC CurrentSince Jun 15, 2013 Accepting new patients
Delta Medical Group Past Accepting new patients
Lansdale Hospital Corporation Past Accepting new patients

Locations

826 N Broad St
Lansdale, PA 19446
Phone (215) 855-1054

420 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-9321

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA
  • Direct secure messaging: jennifer.craig@tvpc.eclinicaldirectplus.com

Organizations & group practices 4

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1093050759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462321",
            "telephone_number": "215-855-1054",
            "fax_number": "215-361-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N BROAD ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "19446",
            "telephone_number": "215-855-1054",
            "fax_number": "215-361-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1776 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011550",
            "country_code": "US",
            "telephone_number": "401-770-1707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012593",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP012593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.