Active NPI
Christopher Crayne
- Nurse Practitioner
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704301517
- Practice address
- 840 Oakwood Blvd
Dearborn, MI 48124-2319 - Phone
- (313) 359-7600
- Fax
- (313) 359-7678
- NPI assigned
- Jun 9, 2022
- Last updated
- Jan 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704301517 | MI | Primary |
| Nurse Practitioner | 363L00000X | APRN.CNP.0032384 | OH |
Addresses
Primary practice location
840 Oakwood Blvd
Dearborn, MI 48124-2319
Mailing address
840 Oakwood Blvd
Dearborn, MI 48124-2319
Phone (313) 359-7600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ccrayne249451@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5142
18100 Oakwood Blvd
Suite 200
Dearborn, MI 48124-4085
Phone (313) 593-7301
33101 Annapolis St
Wayne, MI 48184-2405
Phone (313) 359-7600
33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000
5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3877
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0032384 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Multi Specialty Physicians | Current | Accepting new patients | |
| DRS Harris Birkhill Wang Songe & Assoc PC | Current | Accepting new patients | |
| Oakwood Healthcare Inc | Past | Accepting new patients |
Locations
18100 Oakwood Blvd
Ste 200
Dearborn, MI 48124
Phone (313) 438-7715
840 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 359-7600
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
2130 W Central Ave
Ste 101
Toledo, OH 43606
333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909
Interoperability endpoints
- ccrayne1044613@direct.hfhs.org
- ccrayne249451@direct.promedica.org
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.
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1679529978
-
- Family Medicine Physician
- Toledo, OH
- NPI 1306105150
-
dba Corewell Health Retail Pharmacy Westland
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Hospital - Taylor
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1235868506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242319",
"telephone_number": "313-359-7600",
"fax_number": "313-359-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "840 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242319",
"telephone_number": "313-359-7600",
"fax_number": "313-359-7678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAYNE",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-09",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704301517",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "APRN.CNP.0032384",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ccrayne249451@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.