Individual provider Active NPI

Melissa Crossen, D.C.

  • Chiropractor
  • Brookline, MA
National Provider Identifier
1417252883
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3308 Issued in MA
Practice address
1691 Beacon St
Brookline, MA 02445-4400
Phone
(508) 904-4671
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3308 MA Primary

Addresses

Primary practice location

1691 Beacon St
Brookline, MA 02445-4400

Mailing address

1691 Beacon St
Brookline, MA 02445-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110602000199 MA Practitioner - Chiropractic 7012194954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory a. Bauer, D.C.,P.C.Group PAC ID 8921910621, 4 clinicians

Practice addresses (Care Compare)

42 Pleasant St
Arlington, MA 02476-6515
Phone (781) 648-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory a. Bauer, D.C.,P.C. Chiropractor CurrentSince Aug 2, 2013 Accepting new patients

Locations

42 Pleasant St
Arlington, MA 02476
Phone (781) 648-4000

42 Pleasant St
Unit 1
Arlington, MA 02476
Phone (781) 648-4000

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.

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1417252883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 BEACON ST",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024454400",
            "telephone_number": "508-904-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSEN",
        "first_name": "MELISSA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.