Crystal Dickow

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704319448 Issued in MI

Practice address

1770 Fort St
Lincoln Park, MI 48146-1904

Phone

(248) 470-7289

NPI assigned

Oct 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Park Urgent Care PLLCGroup PAC ID 6305169988, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9626/brand/1/csg/1/fhir/r4

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.

• Oak Park Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Oak Park, MI
  • NPI 1770980385
  Medicare reassignment Care Compare group NPD
• Get Well Urgent Care Downriver PLC

  • Urgent Care Clinic/Center
  • Lincoln Park, MI
  • NPI 1578035317
  Medicare reassignment NPD
• Get Well Urgent Care Harper Woods PLC

  • Urgent Care Clinic/Center
  • Harper Woods, MI
  • NPI 1609585025
  Medicare reassignment NPD
• Get Well Urgent Care Macomb PLC

  • Urgent Care Clinic/Center
  • Clinton TWP, MI
  • NPI 1073289013
  Medicare reassignment NPD
• Get Well Urgent Care Pontiac PLC

  • Urgent Care Clinic/Center
  • Pontiac, MI
  • NPI 1740999077
  Medicare reassignment NPD
• Get Well Urgent Care Shelby PLC

  • Urgent Care Clinic/Center
  • Shelby Township, MI
  • NPI 1033865464
  Medicare reassignment NPD
• Get Well Urgent Care Sterling Heights PLC

  • Urgent Care Clinic/Center
  • Sterling Heights, MI
  • NPI 1891381232
  Medicare reassignment NPD
• Get Well Urgent Care Taylor PLC

  • Urgent Care Clinic/Center
  • Taylor, MI
  • NPI 1689320012
  Medicare reassignment NPD
• Hoover Urgent Care of Warren PLLC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1821351610
  Medicare reassignment NPD
• Roseville Urgent Care, PC

  • Urgent Care Clinic/Center
  • Roseville, MI
  • NPI 1811297070
  Medicare reassignment NPD
• Southfield City Urgent Care PC

  • Urgent Care Clinic/Center
  • Southfield, MI
  • NPI 1811278716
  Medicare reassignment NPD
• Harper Woods Urgent Care and Medical Center PLLC

  • Urgent Care Clinic/Center
  • Harper Woods, MI
  • NPI 1528586674
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• William Beaumont Hospital

  dba Beaumont Hospital, Troy

  • General Acute Care Hospital
  • Troy, MI
  • NPI 1306825997
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Royal Oak

  • General Acute Care Hospital
  • Royal Oak, MI
  • NPI 1689653305
  Care Compare affiliation
• William Beaumont Hospital

  dba Beaumont Hospital, Grosse Pointe

  • General Acute Care Hospital
  • Grosse Pointe, MI
  • NPI 1932396017
  Care Compare affiliation

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1801550157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461904",
            "telephone_number": "248-470-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKOW",
        "first_name": "CRYSTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704319448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armand Delrosario, DDS
• Gina Marie Dematteo, LLP
• Christie Lee Dennis, RN
• Dental Health Group of Michgian
• Vincent Dicarlo
• Jeremy David Diehl, CHW
• Michael R Dillard
• William Joseph Doherty, DDS
• Stephanie Lee Dorris
• Downriver Dental Associates P.C.

• Family Nurse Practitioner in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; 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.

Verify at the official NPI Registry.