Individual provider Active NPI

Natalie Lois Crook, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Livonia, MI
National Provider Identifier
1477929255
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704270723 Issued in MI
Practice address
14555 Levan Rd
Suite 311
Livonia, MI 48154-5083
Phone
(877) 949-9344
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704270723 MI
Gerontology Nurse Practitioner 363LG0600X 4704270723 MI Primary

Addresses

Primary practice location

14555 Levan Rd
Suite 311
Livonia, MI 48154-5083

Mailing address

14555 Levan Rd
Suite 310
Livonia, MI 48154-5083

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
I20160412000084 MI Practitioner - Nurse Practitioner 8123326907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Olma Specialty 1 LLCGroup PAC ID 6901206689, 67 clinicians

Practice addresses (Care Compare)

19000 St Joes Pkwy
Livonia, MI 48152-1477

36475 5 Mile Rd
Livonia, MI 48154-1971
Phone (734) 655-2692

Hospital & facility affiliations

  • St Joe Mercy Hospital System Livonia Hospital, Livonia, MI, CCN 230002
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704270723MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Mercy Physician Practices CurrentSince Feb 21, 2016 Accepting new patients
Iha Olma Specialty 1 LLC Current Accepting new patients
St Mary Mercy Physician Practices CurrentSince Feb 21, 2016 Accepting new patients
Iha Olma Specialty 1 LLC CurrentSince Jul 1, 2023 Accepting new patients
St Mary Mercy Hospital Current Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

14555 Levan Rd
Ste 310
Livonia, MI 48154
Phone (734) 591-1171

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

19000 St Joes Pkwy
Ste 310
Livonia, MI 48152
Phone (248) 743-4490

36622 5 Mile Rd
Ste 202
Livonia, MI 48154
Phone (734) 655-2692

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

14555 Levan Rd
Ste 311
Livonia, MI 48154
Phone (248) 858-3850

44555 Woodward Ave
Ste 501
Pontiac, MI 48341
Phone (248) 335-3101

Interoperability endpoints

  • Direct secure messaging: ncrook36509@direct.trinity-health.org

Organizations & group practices 5

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 2

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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1477929255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 310",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 311",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "877-949-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "NATALIE",
        "middle_name": "LOIS",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704270723",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704270723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.