Lisa Ann Crofcheck, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP012046 Issued in PA

Practice address

450 Cresson Blvd.
Suite 110
Oaks, PA 19456

Phone

(610) 728-6100

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Premier Immediate Medical Care, LLC

  • Urgent Care Clinic/Center
  • Exton, PA
  • NPI 1821040890
  NPD (past)

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1710243373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 N BISHOP AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESSON BLVD.",
            "address_2": "SUITE 110",
            "city": "OAKS",
            "state": "PA",
            "postal_code": "19456",
            "telephone_number": "610-728-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFCHECK",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP012046",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Family Dental Care, P.C.
• Anne D. Angle, D.M.D.
• BJ'S Wholesale Club Inc.
• Hazel M. Bluestein, MD
• Meghan Bissell Bowman, PHYSICIAN ASSISTANT
• Daniel F. Derosa, D.M.D.
• Dr. Jeff Snyder, LLC
• Galeotti Family Chiropractic Center, PC
• Chris J Galeotti, D.C.
• Gerald F. Coppola, Jr.

• All providers in Oaks, PA
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.