Individual provider Active NPI

Christopher Crayne

  • Nurse Practitioner
  • Dearborn, MI
National Provider Identifier
1235868506
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704301517 Issued in MI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121003223 MI Practitioner - Nurse Practitioner 0143698100 Reassigns benefits to 1 organization

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
DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians

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

LicenseStateTypeSpecialty
APRN.CNP.0032384OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Multi Specialty Physicians CurrentSince Jan 1, 2025 Accepting new patients
DRS Harris Birkhill Wang Songe & Assoc PC CurrentSince Oct 1, 2024 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

  • Direct secure messaging: ccrayne1044613@direct.hfhs.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.