Active NPI
Mary Maxine McCrary, APRN, FNP-C
- Family Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1780017343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07509
- Practice address
- 563 Colonial Dr
Baton Rouge, LA 70806-6508 - Phone
- (225) 505-5217
- Fax
- (225) 452-9123
- NPI assigned
- Aug 18, 2013
- Last updated
- Feb 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07509 | LA | Primary |
Addresses
Primary practice location
563 Colonial Dr
Baton Rouge, LA 70806-6508
Mailing address
17625 Wisdom Dr
Baker, LA 70714-1536
Phone (225) 505-5217
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383422YJV5 | Other | LA | MEDICARE PTAN |
| 2372041 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carecircle Family Health Clinic | Current | Accepting new patients |
Locations
563 Colonial Dr
Baton Rouge, LA 70806
Phone (225) 505-5217
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Baton Rouge, LA
- NPI 1124814967
-
- Primary Care Clinic/Center
- Baker, LA
- NPI 1699177345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1780017343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17625 WISDOM DR",
"city": "BAKER",
"state": "LA",
"postal_code": "707141536",
"telephone_number": "225-505-5217",
"fax_number": "225-452-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "563 COLONIAL DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066508",
"telephone_number": "225-505-5217",
"fax_number": "225-452-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRARY",
"first_name": "MARY",
"middle_name": "MAXINE",
"credential": "APRN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-18",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "383422YJV5",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2372041",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.