Abby Crawford
Individual provider Active NPI Physician Assistant · Chicago, IL
NPI 1669949848 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1669949848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085006786 (IL)
- Practice address
- 2233 W Division St
Chicago, IL 60622-8151 - Phone
- (877) 737-4636
- NPI assigned
- Oct 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181203002628 | IL | Practitioner - Physician Assistant | 6305180357 | Reassigns benefits to 1 organization |
| I20200220002551 | IN | Practitioner - Physician Assistant | 6305180357 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085006786 | IL | MD | Physician Assistant |
| 10002912A | IN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients | |
| Cepamerica Illinois LLP | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10002912A | IN | |
| Physician Assistant | 363A00000X | 085006786 | IL | Yes |
Addresses
Primary practice location
2233 W Division St
Chicago, IL 60622-8151
Mailing address
7 Valewood Run
Penfield, NY 14526-2801
Phone (585) 406-6300
Other practice location 1
2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-2000
Other practice location 2
355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000
Other practice location 3
333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133
Other providers in Chicago, IL
- Cranial Technologies, Inc.
- Melanie Brooke Crass
- Camila Crausaz
- Karen Craven
- Crawford Surgicare
- Almario S Crawford
- April BJV Crawford
- Carrie Elizabeth Crawford
- Clifford S. Crawford
- Connor Crawford
All providers in Chicago, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.