Jaclyn Amelia Crowley, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024188716 Issued in VA

Practice address

411 W Randolph Rd
Hopewell, VA 23860-2938

Phone

(201) 213-7182

NPI assigned

Oct 2, 2023

Last updated

Mar 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Marymount University, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neuro Care of Virginia PCGroup PAC ID 5991801987, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020
• Bon Secours Southside Medical Center Hospital, Petersburg, VA, CCN 490067
• Community Memorial Hospital Hospital, South Hill, VA, CCN 490098
• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4844/brand/1/csg/1/fhir/r4
• Direct secure messaging: jaclyn.crowley.1@4844.direct.athenahealth.com

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.

• Neuro Care of Virginia PC

  • Neurology Physician
  • Prince George, VA
  • NPI 1124087812
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advanced Technologies in Home Care, Inc.

  dba AT Home Care, Inc.

  • Home Health Agency
  • Richmond, VA
  • NPI 1376509430
  Care Compare affiliation
• Bon Secours Mercy Health Petersburg LLC

  dba Bon Secours - Southside Medical Center

  • General Acute Care Hospital
  • Petersburg, VA
  • NPI 1720623853
  Care Compare affiliation
• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Columbia/HCA John Randolph, Inc.

  dba TriCities Hospital

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248
  Care Compare affiliation
• Community Memorial Hospital

  • General Acute Care Hospital
  • South Hill, VA
  • NPI 1336103738
  Care Compare affiliation

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1437939121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 RUFFIN RD",
            "city": "NORTH PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238608635",
            "telephone_number": "201-213-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W RANDOLPH RD",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238602938",
            "telephone_number": "201-213-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "JACLYN",
        "middle_name": "AMELIA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-03-28",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Ambulance Service, Inc.
• Lucinda Mae Conner
• Robert Charles Conner, R.PH.
• Ryan Michael Cook, O.D.
• Creekside Post Acute LLC
• Emily Crutcher
• Daniel M. Baker, D.D.S PLLC
• Kamlesh Nandlal Dave, M.D.,F.A.C.C.
• David L. Ellis, DDS, LTD (Ellis Family Dentistry)
• Janet Reid Dawson, LPC

• Family Nurse Practitioner in Hopewell, VA
• Providers in Hopewell, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.
• 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.