Individual provider Active NPI

Johanna McCroskey, FNP

  • Family Nurse Practitioner
  • Kailua, HI
National Provider Identifier
1518440221
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-2526 Issued in HI
Practice address
567 Kaimake Loop
Kailua, HI 96734-2023
Phone
(540) 808-8436
NPI assigned
Sep 9, 2018
Last updated
Sep 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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 APRN-2526 HI Primary

Addresses

Primary practice location

567 Kaimake Loop
Kailua, HI 96734-2023

Mailing address

567 Kaimake Loop
Kailua, HI 96734-2023
Phone (540) 808-8436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230209002725 VA Practitioner - Nurse Practitioner 4587906037 Reassigns benefits to 1 organization
I20230317000017 DC Practitioner - Nurse Practitioner 4587906037 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Dec 12, 2022 Accepting new patients
Inova Health Care Services CurrentSince Dec 12, 2022 Accepting new patients
Inova Health Care Services CurrentSince Dec 12, 2022 Accepting new patients

Locations

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: jmccroskey105247@marywashingtonhealthcare.direct-ci.com
  • Direct secure messaging: jmccroskey1114352@soc.inova.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1518440221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 KAIMAKE LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342023",
            "telephone_number": "540-808-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 KAIMAKE LOOP",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342023",
            "telephone_number": "540-808-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCROSKEY",
        "first_name": "JOHANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-2526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.