Active NPI
Christopher Robin Cromwell, MD
- Plastic and Reconstructive Surgery Physician
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- ME106293
- Practice address
- 293 NW Peacock Blvd Ste 201
Port Saint Lucie, FL 34986-2222 - Phone
- (772) 204-8870
- Fax
- (772) 204-8873
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 106293 | FL | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 200401193 | NC | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | ME106293 | FL | Primary |
Addresses
Primary practice location
293 NW Peacock Blvd Ste 201
Port Saint Lucie, FL 34986-2222
Mailing address
293 NW Peacock Blvd Ste 201
Port Saint Lucie, FL 34986-2222
Phone (772) 204-8870
Other practice location 1
537 NW Lake Whitney Pl
suite 101
Port Saint Lucie, FL 34986-1620
Phone (772) 204-8870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138JW | Other | BCBS | |
| 89138JW | Medicaid | NC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Temple University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1015 Crosspointe Dr
Naples, FL 34110-0949
Phone (239) 596-9075
1400 SE Goldtree Dr
Suite 107
Port St Lucie, FL 34952-7582
Phone (772) 217-6551
2601 S Kanner Hwy
Stuart, FL 34994-4622
Phone (772) 217-6829
264 NW Peacock Blvd
Port St Lucie, FL 34986-2272
Phone (772) 217-6786
7765 144TH St
Unit 1
Sebastian, FL 32958-3206
Phone (772) 217-6621
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 115 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106293 | FL | MD | Plastic Surgery Physician |
| 200401193 | NC | MD | Plastic and Reconstructive Surgery Physician |
| 230784 | NY | MD | Personal Care Attendant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients | |
| Aqua Dermatology of Florida, PA | Current | Accepting new patients | |
| Water'S Edge Dermatology, LLC | Current | Accepting new patients | |
| Water'S Edge Dermatology, LLC | Current | Accepting new patients | |
| Broward Neurosurgeons LLC | Past | Accepting new patients | |
| Specialists in Plastic Surgery PA | Past | Accepting new patients | |
| Specialists in Plastic Surgery | Past | Accepting new patients |
Locations
5101 Okeechobee Rd
Fort Pierce, FL 34947
Phone (772) 595-5995
6250 Lantana Rd
Ste 9
Lake Worth, FL 33463
Phone (561) 578-8100
3659 S Miami Ave
Ste 6008
Miami, FL 33133
Phone (305) 854-5432
1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075
14840 Tamiami Trl
North Port, FL 34287
Phone (941) 564-1542
301 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-0039
2845 Pga Blvd
Palm Beach Gardens, FL 33410
Phone (561) 693-0540
600 Village Square Xing
Palm Beach Gardens, FL 33410
Phone (561) 693-0540
7765 144th St
Unit 1
Sebastian, FL 32958
Phone (772) 217-6621
264 NW Peacock Blvd
Ste 101
St Lucie West, FL 34986
Phone (727) 800-5599
264 NW Peacock Blvd
Ste 201
St Lucie West, FL 34986
Phone (772) 323-2321
264 NW Peacock Blvd
St Lucie West, FL 34986
Phone (772) 208-8800
3745 11th Cir
Ste 107
Vero Beach, FL 32960
Phone (772) 562-2330
805 37th Pl
Vero Beach, FL 32960
Phone (772) 257-7373
38162 Medical Center Ave
Zephyrhills, FL 33540
Phone (813) 782-2165
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ccromwell@aquadermatology.emadirect.md
Organizations & group practices 7
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.
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1134148992
-
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
-
- Clinical Medical Laboratory
- Palm Beach Gardens, FL
- NPI 1871542787
-
- Neurological Surgery Physician
- Plantation, FL
- NPI 1366499618
-
- Specialist
- Chattanooga, TN
- NPI 1598971392
-
- Specialist
- Raleigh, NC
- NPI 1760482210
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
-
- General Acute Care Hospital
- Vero Beach, FL
- NPI 1376512988
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1629073382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 NW PEACOCK BLVD STE 201",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349862222",
"telephone_number": "772-204-8870",
"fax_number": "772-204-8873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 NW PEACOCK BLVD STE 201",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349862222",
"telephone_number": "772-204-8870",
"fax_number": "772-204-8873"
}
],
"practiceLocations": [
{
"address_1": "537 NW Lake Whitney Pl",
"address_2": "suite 101",
"address_purpose": "LOCATION",
"city": "Port Saint Lucie",
"state": "FL",
"postal_code": "349861620",
"country_code": "US",
"telephone_number": "772-204-8870",
"fax_number": "772-204-8873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROMWELL",
"first_name": "CHRISTOPHER",
"middle_name": "ROBIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "106293",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NC",
"license": "200401193",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "FL",
"license": "ME106293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "138JW",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89138JW",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.