Individual provider Active NPI

Elizabeth Cronin, NP

  • Pediatric Nurse Practitioner
  • Salem, MA
National Provider Identifier
1093123382
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2284299 Issued in MA
Practice address
84 Highland Ave
Salem, MA 01970-2727
Phone
(978) 745-3050
Fax
(978) 745-7014
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2284299 MA Primary

Addresses

Primary practice location

84 Highland Ave
Salem, MA 01970-2727

Mailing address

84 Highland Ave
Salem, MA 01970-2727
Phone (978) 745-3050

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
I20250618003817 MA Practitioner - Nurse Practitioner 5496266181 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2284299MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates of Greater Salem, Inc CurrentSince Apr 15, 2025 Accepting new patients

Locations

30 Tozer Rd
Fl 1
Beverly, MA 01915

30 Tozer Rd
Ste 101
Beverly, MA 01915
Phone (978) 745-3050

30 Tozer Rd
Beverly, MA 01915
Phone (978) 712-1100

84 Highland Ave
Ste 101
Salem, MA 01970
Phone (978) 745-3050

376 Boston St
Ste 201
Topsfield, MA 01983

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14797/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cronin.elizabeth.pags@direct.partners.masshiway.net
  • Direct secure messaging: elizabeth.cullinan.1@2804.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2804/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1093123382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702727",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702727",
            "telephone_number": "978-745-3050",
            "fax_number": "978-745-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONIN",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "2284299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.