Individual provider Active NPI

Mollie Crews, APRN-C

  • Family Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1497329528
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9410344 Issued in FL
Practice address
5800 49TH St N Ste S-201
St Petersburg, FL 33709-2146
Phone
(727) 605-1770
NPI assigned
May 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9410344 FL Primary

Addresses

Primary practice location

5800 49TH St N Ste S-201
St Petersburg, FL 33709-2146

Mailing address

4007 W Leila Ave
Tampa, FL 33616-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220131001595 FL Practitioner - Nurse Practitioner 5294128039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Neurospine Institute, LLCGroup PAC ID 2860721941, 9 clinicians

Practice addresses (Care Compare)

5800 49TH St N
Suite 201
St Petersburg, FL 33709-2100
Phone (727) 605-1770

Hospital & facility affiliations

  • HCA Florida Northside Hospital Hospital, Saint Petersburg, FL, CCN 100238
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9410344FLMDFamily Nurse Practitioner

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Premier Neurospine Institute, LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

300 Riverside Dr E
Ste 1100
Bradenton, FL 34208
Phone (727) 685-1946

2220 W Bay Dr
Largo, FL 33770

601 7th St S
Ste 495
St Petersburg, FL 33701
Phone (727) 289-5932

5800 49th St N
Ste 201
St Petersburg, FL 33709
Phone (727) 605-1770

701 N West Shore Blvd
Tampa, FL 33609
Phone (352) 340-5935

Networks

  • Freedom Health HMO Network

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.

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1497329528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 W LEILA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N STE S-201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-605-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "MOLLIE",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9410344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.