Individual provider Active NPI

Margot Anne Crossley, D.O.

  • Pediatrics Physician
  • Colorado Springs, CO
National Provider Identifier
1205921699
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34758 Issued in CO
Practice address
6965 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3597
Phone
(719) 266-5944
Fax
(719) 266-5947
NPI assigned
Oct 3, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34758 CO Primary

Addresses

Primary practice location

6965 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3597

Mailing address

6965 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3597
Phone (719) 266-5944

Other identifiers 1

IdentifierTypeStateIssuer
01347582MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000637 CO Practitioner - Pediatric Medicine 2062559081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of New England, College of Osteo Medicine, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6915 Tutt Blvd
Suite 110
Colorado Springs, CO 80923-3592
Phone (719) 266-5944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34758COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margot a. Williams, D.O., P.C. Pediatrics CurrentSince Mar 5, 2023 Accepting new patients
Margot a. Williams, D.O., P.C. PastSince Mar 16, 2021 Accepting new patients

Locations

6915 Tutt Blvd
Ste 110
Colorado Springs, CO 80923
Phone (719) 266-5944

Interoperability endpoints

  • Direct secure messaging: mcrossley@wcp-co.direct.office.nextgen.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205921699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 TUTT BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233597",
            "telephone_number": "719-266-5944",
            "fax_number": "719-266-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 TUTT BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233597",
            "telephone_number": "719-266-5944",
            "fax_number": "719-266-5947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLEY",
        "first_name": "MARGOT",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-03-07",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "34758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01347582",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.