Individual provider Active NPI

Monica Crawford, FNP-C

  • Family Nurse Practitioner
  • Bradford, PA
National Provider Identifier
1831847201
Registry record updated Jul 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025883 Issued in PA
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

Updated by the provider on Jul 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
F349233NYMDFamily Nurse Practitioner
SP025883PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jul 8, 2022 Accepting new patients
Great Lakes Physician Practice PC CurrentSince May 23, 2022 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 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.

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

Verify at the official NPI Registry.