Jessica Crawford-Grey

Key facts

NPI

1457740870

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner 363LP0808X

License

RN2263974 (MA)

Practice address

425 Lake Ave N
Ste 101
Worcester, MA 01605-2047

Phone

(508) 753-3220

Fax

(508) 753-3224

NPI assigned

Jan 22, 2015

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Advanced Psych Services, LLC Mental Health Clinic/Center (Including Community Mental Health Center) · Worcester, MA · NPI 1750648689
  Medicare reassignment Care Compare group NPD MA
• Greater Boston Psychiatric Services, LLC Adult Mental Health Clinic/Center · Medway, MA · NPI 1841643699
  NPD (past)

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Psych Services LLC (19 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.crawford_grey@iccworcester.direct.emds.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 27, 2019.

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1457740870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N",
            "address_2": "STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052047",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAKE AVE N",
            "address_2": "STE 101",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052047",
            "telephone_number": "508-753-3220",
            "fax_number": "508-753-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD-GREY",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-22",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2263974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

• Ivy Craig, M.A. LEVEL CLINICIAN
• Pamela Lance Crandall
• Ashley Crane-Bassett, LMHC
• Julie Crantz
• Amy Beth Craven, LADC I
• Catharine Martone Crawford, MD
• Christopher A. Crean, MD
• Thomas Creeden
• Andrea Creelman
• Meghan Patricia Creelman, R.N.

All providers in Worcester, MA · Psychiatric/Mental Health Nurse Practitioner in Massachusetts