Active NPI
Monica Crawford, FNP-C
- Family Nurse Practitioner
- Bradford, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP025883
- Practice address
- 1001 E Main St # 320B
Bradford, PA 16701-3267 - Phone
- (814) 368-1000
- Fax
- (814) 368-1008
- NPI assigned
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F349233 | NY | |
| Family Nurse Practitioner | 363LF0000X | SP025883 | PA | Primary |
Addresses
Primary practice location
1001 E Main St # 320B
Bradford, PA 16701-3267
Mailing address
1001 E Main St # 320B
Bradford, PA 16701-3267
Phone (814) 368-1000
Other practice location 1
117 Main St
Salamanca, NY 14779-1529
Phone (716) 945-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220624001972 | NY | Practitioner - Nurse Practitioner | 1456730241 | Reassigns benefits to 1 organization |
| I20220811001728 | PA | Practitioner - Nurse Practitioner | 1456730241 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F349233 | NY | MD | Family Nurse Practitioner |
| SP025883 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Services Inc | Current | Accepting new patients | |
| Great Lakes Physician Practice PC | Current | Accepting new patients | |
| Jamestown Area Medical Associates, L.L.P. | Current | Accepting new patients |
Locations
31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306
117 Main St
Salamanca, NY 14779
Phone (716) 307-2382
1001 E Main St
#320B
Bradford, PA 16701
Phone (716) 664-8510
24 W Washington St
Bradford, PA 16701
Phone (814) 362-6911
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Jamestown, NY
- NPI 1528010766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658016000000",
"number": "1831847201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E MAIN ST # 320B",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167013267",
"telephone_number": "814-368-1000",
"fax_number": "814-368-1008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E MAIN ST # 320B",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167013267",
"telephone_number": "814-368-1000",
"fax_number": "814-368-1008"
}
],
"practiceLocations": [
{
"address_1": "117 Main St",
"address_purpose": "LOCATION",
"city": "Salamanca",
"state": "NY",
"postal_code": "147791529",
"country_code": "US",
"telephone_number": "716-945-5500",
"fax_number": "716-945-5506",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MONICA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2022-07-17",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F349233",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP025883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; 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.