NPIMap

Individual provider Active NPI

Michele Diane Crawley, APRN, CNP

  • Family Nurse Practitioner
  • Henryetta, OK
National Provider Identifier
1184046336
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
84737 Issued in OK
Practice address
2401 W Main St
Henryetta, OK 74437-3893
Phone
(918) 652-9650
Fax
(918) 652-7827
NPI assigned
Jan 7, 2014
Last updated
May 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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 84737 OK Primary
Case Management Registered Nurse 163WC0400X 84737 OK

Addresses

Primary practice location

2401 W Main St
Henryetta, OK 74437-3893

Mailing address

2401 W Main St
Henryetta, OK 74437-3893
Phone (918) 652-9650

Other identifiers 1

IdentifierTypeStateIssuer
200532420AMedicaidOK

Other names 1

  • Michele Diane Pearce Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20140403000954 OK Practitioner - Nurse Practitioner 6608008792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Henryetta Hospital LLCGroup PAC ID 9638143282, 4 clinicians

Practice addresses (Care Compare)

2403 W Main St
Utica Park Clinic Family Care
Henryetta, OK 74437-3893
Phone (918) 652-9650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince Mar 1, 2014 Accepting new patients
Ahs Henryetta Hospital LLC CurrentSince Aug 1, 2018 Accepting new patients
Ahs Henryetta Hospital LLC CurrentSince Aug 1, 2018 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Mar 1, 2014 Accepting new patients
Satwant Tandon MD PC Past Accepting new patients

Locations

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

2403 W Main St
Henryetta, OK 74437
Phone (918) 652-6950

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825

Dept 1206
Tulsa, OK 74182

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: mcrawley106904@ahs.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1184046336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373893",
            "telephone_number": "918-652-9650",
            "fax_number": "918-652-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "city": "HENRYETTA",
            "state": "OK",
            "postal_code": "744373893",
            "telephone_number": "918-652-9650",
            "fax_number": "918-652-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWLEY",
        "first_name": "MICHELE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "84737",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OK",
            "license": "84737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532420A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "PEARCE",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Henryetta, OK

Sources for this page

Verify at the official NPI Registry.