Dawn Marie Craddock, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704284552 Issued in MI

Practice address

461 W Huron St Ste 406
Pontiac, MI 48341-1601

Phone

(586) 229-7812

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dawn Marie Daniels Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

57.96 of 100Reported as group

Quality

21.71

Promoting interoperability

12

Improvement activities

40

Cost

78.16

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Behavioral Care Solutions for Adults and Seniors, Inc.

  • Psychiatry Physician
  • Novi, MI
  • NPI 1154727147

  Family

  Medicare reassignment NPD
• Integrative Neurology , PLLC

  • Specialist
  • Southfield, MI
  • NPI 1578934600
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1174043020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182433",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483182433",
            "telephone_number": "586-229-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 W HURON ST STE 406",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411601",
            "telephone_number": "586-229-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33053 Meadowlark St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MI",
            "postal_code": "483365068",
            "country_code": "US",
            "telephone_number": "248-982-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 S Huron Pkwy Ste 1D",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481045133",
            "country_code": "US",
            "telephone_number": "586-229-7812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704284552",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704284552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DANIELS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Renee K Courtney, NP
• Chelsea Marie Covington, DDS
• Lawrence J Cowsill, D.O.
• Judith A Cox, M.A.,L.L.P.C.,N.C.C.
• Amy Colleen Craddick, MA, LLPC
• Nikkole Machelle Crane
• Mary A Crawford
• Toye L Crawford
• Alisa Cretu
• Susan Crim

• Nurse Practitioner in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.