Organization Active NPI

Monica L Craig NP-C LLC

  • Nurse Practitioner
  • Lake City, FL
National Provider Identifier
1760201693
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MONICA L CRAIG NP-C LLC
Practice address
137 SE Craig Ave
Lake City, FL 32025-4968
Phone
(386) 247-0572
Fax
(286) 287-6525
NPI assigned
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Monica CraigNPI 1275139982
Title
Owner
Phone
(386) 247-0572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

137 SE Craig Ave
Lake City, FL 32025-4968

Mailing address

137 SE Craig Ave
Lake City, FL 32025-4968
Phone (386) 247-0572

Other names 1

  • Integrative Direct Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250127000014 FL Part B Supplier - Clinic/Group Practice 3072042712 Receives reassigned benefits from 1 practitioner
Practice locations: Lake City, FL
O20250904000143 FL DME Supplier - Nurse Practitioner 3072042712 Practice locations: Lake City, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2283296Monica L Craig NP-C LLC137 SE Craig Ave, Lake City, FL 32025Certificate of waiverJun 5, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Monica L Craig NP-C LLC137 SE Craig Ave, Lake City, FL 32025-4968(386) 247-0572 Blood Glucose Monitors/Supplies (Mail Order)|Negative Pressure Wound Therapy Pumps/Supplies|Surgical Dressings|Diabetic Shoes and Inserts|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Oct 23, 2024

National Provider Directory

National Provider Directory

Locations

137 SE Craig Ave
Lake City, FL 32025
Phone (386) 247-0572

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1760201693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SE CRAIG AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254968",
            "telephone_number": "386-247-0572",
            "fax_number": "286-287-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 SE CRAIG AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320254968",
            "telephone_number": "386-247-0572",
            "fax_number": "286-287-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA L CRAIG NP-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-247-0572"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.