Mary B Crean, APRN, CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

277000511 Issued in IL

Practice address

12251 S. 80TH Avenue
Palos Heights, IL 60463

Phone

(630) 257-1111

Fax

(708) 923-5018

NPI assigned

Jul 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary B Fitzmaurice Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

56.32 of 100Reported as group

Quality

30.08

Promoting interoperability

100

Improvement activities

0

Cost

74.31

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

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.

• Carlos H Zambrano MD LLC

  • Infectious Disease Physician
  • Chicago, IL
  • NPI 1467477257
  NPD (past)

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1285864256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 S 80TH AVE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631290",
            "telephone_number": "708-923-5869",
            "fax_number": "708-923-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 S. 80TH AVENUE",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "630-257-1111",
            "fax_number": "708-923-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREAN",
        "first_name": "MARY",
        "middle_name": "B",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-23",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "277000511",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277000511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FITZMAURICE",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marco Cordero, M.D.
• Breanna Alyssa Cordova
• Patricia Ann Cornwell, PT
• Beatrice Marie Correa Rivera, M.D.
• Kyle Thomas Cosentino, LCPC
• Crescent Allergy SC
• Jessica Cruz, PSYD
• Nicholas R Cudney, D.D.S.
• Connie Cunanan
• Michael Cunningham

• Nurse Practitioner in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.