Individual provider Active NPI

Sara Aileen Crawford, N.P.

  • Adult Health Nurse Practitioner
  • Midland, MI
National Provider Identifier
1285680223
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704175287 Issued in MI
Practice address
2726 N Saginaw Rd
Midland, MI 48640-2633
Phone
(989) 839-4560
Fax
(989) 839-4565
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704175287 MI Primary

Addresses

Primary practice location

2726 N Saginaw Rd
Midland, MI 48640-2633

Mailing address

2726 N Saginaw Rd
Midland, MI 48640-2633
Phone (989) 839-4560

Other identifiers 3

IdentifierTypeStateIssuer
1285680223OtherNPI
1942621990OtherNPI
5008704100OtherMIBLUE CROSS

Other names 1

  • Ms. Sara Aileen Picard Former name

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
I20050110000057 MI Practitioner - Nurse Practitioner 9537117262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2726 N Saginaw Rd
Midland, MI 48640-2633
Phone (989) 839-4560

Hospital & facility affiliations

  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704175287MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Health, LLC CurrentSince Jan 11, 2014 Accepting new patients

Locations

2726 N Saginaw Rd
Midland, MI 48640
Phone (989) 832-8884

222 N Saginaw Rd
Ste C
Midland, MI 48640

222 N Saginaw Rd
Midland, MI 48640
Phone (810) 412-5590

Interoperability endpoints

  • Direct secure messaging: sara.crawford.1@8155.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8155/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1285680223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402633",
            "telephone_number": "989-839-4560",
            "fax_number": "989-839-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402633",
            "telephone_number": "989-839-4560",
            "fax_number": "989-839-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SARA",
        "middle_name": "AILEEN",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704175287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285680223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942621990",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "5008704100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "PICARD",
            "middle_name": "AILEEN",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.