NPIMap

Individual provider Active NPI

Michelle Crass, APN

  • Adult Health Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1366821712
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ005653000 Issued in NJ
Practice address
27 Covered Bridge Rd
Cherry Hill, NJ 08034-2945
Phone
(856) 429-2224
NPI assigned
May 19, 2015
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 26NJ005653000 NJ Primary

Addresses

Primary practice location

27 Covered Bridge Rd
Cherry Hill, NJ 08034-2945

Mailing address

27 Covered Bridge Rd
Cherry Hill, NJ 08034-2945
Phone (856) 429-2224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713001882 NJ Practitioner - Nurse Practitioner 6002129517 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

333 Laurel Oak Rd
Voorhees, NJ 08043-4453
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ005653000NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Pulse Vascular, LLC CurrentSince Jan 4, 2021 Accepting new patients
Samaritan Homevisit Physicians PC CurrentSince Jan 20, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2015 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2015 Accepting new patients
Robert J Maro MD PA CurrentSince Mar 30, 2020 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 15, 2021 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Sep 1, 2023 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

27 Covered Bridge Rd
Cherry Hill, NJ 08034
Phone (856) 428-6768

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

282 Chester Ave
Moorestown, NJ 08057
Phone (856) 222-3292

3906 Church Rd
Mount Laurel, NJ 08054
Phone (856) 222-3292

354 Hurffville Crosskeys Rd
Bldg 3
Sewell, NJ 08080
Phone (215) 481-6253

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

333 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 344-7360

701 Cooper Rd
Ste 16
Voorhees, NJ 08043
Phone (856) 429-2224

Organizations & group practices 9

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 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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1366821712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COVERED BRIDGE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342945",
            "telephone_number": "856-429-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 COVERED BRIDGE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342945",
            "telephone_number": "856-429-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASS",
        "first_name": "MICHELLE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ005653000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.