Individual provider Active NPI

Mary-Anne Crupi, NURSE PRACTITIONER

  • Nurse Practitioner
  • Royal Oak, MI
National Provider Identifier
1396353983
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704274347 Issued in MI
Practice address
3577 W 13 Mile Rd Ste 140
Royal Oak, MI 48073-6710
Phone
(248) 551-3388
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704274347 MI
Nurse Practitioner 363L00000X 4704274347 MI Primary

Addresses

Primary practice location

3577 W 13 Mile Rd Ste 140
Royal Oak, MI 48073-6710

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Other practice location 1

447 N Rochester Rd Apt 120
Clawson, MI 48017-1757
Phone (248) 840-5786

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcrupi1468787@epic00.shdirect.org

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
I20221020002949 MI Practitioner - Nurse Practitioner 3072989763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710

3577 W 13 Mile Rd
Royal Oak, MI 48073-6710

3581 W 13 Mile Rd BCC
Beaumont Breast Care Center
Royal Oak, MI 48073-6710
Phone (248) 551-3300

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704274347MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2022 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Apr 21, 2025 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Sep 1, 2022 Accepting new patients

Locations

30000 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 551-5000

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

3577 W 13 Mile Rd
Ste 140
Royal Oak, MI 48073
Phone (248) 551-3384

26901 Beaumont Blvd
Southfield, MI 48033
Phone (947) 522-1867

4967 Crooks Rd
Ste 210
Troy, MI 48098
Phone (248) 687-7300

Interoperability endpoints

  • Direct secure messaging: mcrupi1468787@epic00.shdirect.org

Organizations & group practices 3

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 3

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1396353983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3577 W 13 MILE RD STE 140",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 N Rochester Rd Apt 120",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480171757",
            "country_code": "US",
            "telephone_number": "248-840-5786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUPI",
        "first_name": "MARY-ANNE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704274347",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704274347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcrupi1468787@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "3577 W 13 Mile Rd Ste 140",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.