Vannesa Vivianna Crotzer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0001712 Issued in MD

Practice address

7309 Hanover Pkwy
Suite a&B
Greenbelt, MD 20770-2032

Phone

(301) 982-0657

Fax

(301) 982-5325

NPI assigned

Nov 14, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17602/brand/1/csg/1/fhir/r4

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.

• Metropolitan Medical Specialists LLC

  • Internal Medicine Physician
  • Lanham, MD
  • NPI 1184853996
  NPD
• Paul D Rogers MD PA

  • Obstetrics & Gynecology Physician
  • Greenbelt, MD
  • NPI 1194715862
  NPD
• Capital Orthopaedic Specialists LLC

  • Orthopaedic Surgery Physician
  • Clinton, MD
  • NPI 1336589431
  NPD (past)
• Doctors Community Hospital Clinic LLC

  • Multi-Specialty Clinic/Center
  • Lanham, MD
  • NPI 1902237506
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Luminis Health Medical Group, LLC

  • Internal Medicine Physician
  • Annapolis, MD
  • NPI 1477862308
  NPD (past)

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1366424632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 HANOVER PKWY",
            "address_2": "SUITE A&B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702032",
            "telephone_number": "301-982-0657",
            "fax_number": "301-982-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 HANOVER PKWY",
            "address_2": "SUITE A&B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702032",
            "telephone_number": "301-982-0657",
            "fax_number": "301-982-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTZER",
        "first_name": "VANNESA",
        "middle_name": "VIVIANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0001712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Bradley Craig, LMSW
• Kryselle Baptiste Craig, MA, NCC, LGPC
• Louis S. Crivelli II, D.C.
• Jordyn Allyn Crockett-Hill, LMSW
• Patrick Andre Cross, MD
• Amber Crummitt
• Lee Daniel Crump, PH.D.
• Reyna Cruz
• Rosa A Cruz, LGPC
• CT Imaging of Greenway, LLC

• Physician Assistant in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.