Individual provider Active NPI

Jennifer E Croft, NP

  • Nurse Practitioner
  • Roseville, MI
National Provider Identifier
1255930426
Registry record updated Jan 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704269473 Issued in MI
Practice address
18223 E 10 Mile Rd Ste 100
Roseville, MI 48066-5821
Phone
(586) 778-5880
Fax
(586) 778-4362
NPI assigned
Oct 20, 2020
Last updated
Jan 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704269473 MI Primary

Addresses

Primary practice location

18223 E 10 Mile Rd Ste 100
Roseville, MI 48066-5821

Mailing address

18223 E 10 Mile Rd Ste 100
Roseville, MI 48066-5821
Phone (586) 778-5880

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
I20201029000831 MI Practitioner - Nurse Practitioner 9335559558 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704269473MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Dec 1, 2024 Accepting new patients

Locations

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

18223 E 10 Mile Rd
Ste 100
Roseville, MI 48066
Phone (586) 778-5880

Interoperability endpoints

  • Direct secure messaging: jcroft720171@direct.hfhs.org

Organizations & group practices 1

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736035200000",
    "number": "1255930426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18223 E 10 MILE RD STE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665821",
            "telephone_number": "586-778-5880",
            "fax_number": "586-778-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18223 E 10 MILE RD STE 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665821",
            "telephone_number": "586-778-5880",
            "fax_number": "586-778-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFT",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-01-05",
        "certification_date": "2025-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704269473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.