Individual provider Active NPI

Jennifer Michelle Crews, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1902173420
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9106325 Issued in FL
Practice address
5200 Seminole Blvd
St Petersburg, FL 33708
Phone
(727) 392-3376
Fax
(727) 897-5263
NPI assigned
Nov 29, 2011
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106325 FL Primary

Addresses

Primary practice location

5200 Seminole Blvd
St Petersburg, FL 33708

Mailing address

4200 N Armenia Ave Ste 1
Tampa, FL 33607-6451
Phone (813) 877-4811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120104000258 FL Practitioner - Physician Assistant 2163698697 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monica K Bedi MD PAGroup PAC ID 9638196769, 15 clinicians

Practice addresses (Care Compare)

7915 US Hwy 301 N 107
Dermatology Associates of Sarastoa
Ellenton, FL 34222-3532
Phone (941) 927-5178

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
96.78
Improvement activities
40
Cost
90.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Monica K Bedi MD PA CurrentSince Mar 1, 2021 Accepting new patients
Monica K Bedi MD PA CurrentSince Mar 1, 2021 Accepting new patients
Monica K Bedi MD PA Past Accepting new patients
Christopher G. Nelson, M.D., P.a. Past Accepting new patients
Dermatology Group of Florida, P.a. Past Accepting new patients
Emergency Physicians of Crossroads PastSince May 7, 2023 Accepting new patients
Robert a. Norman, D.O., P.a. Past Accepting new patients

Locations

4351 Cortez Rd W
Ste 101
Bradenton, FL 34210
Phone (941) 755-0066

6106 State Road 70 E
Bradenton, FL 34203
Phone (941) 748-2277

7915 US Highway 301 N
Ste 107
Ellenton, FL 34222
Phone (941) 847-1101

3830 Bee Ridge Rd
Ste 200
Sarasota, FL 34233
Phone (941) 927-5178

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1902173420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N ARMENIA AVE STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076451",
            "telephone_number": "813-877-4811",
            "fax_number": "813-872-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SEMINOLE BLVD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-392-3376",
            "fax_number": "727-897-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREWS",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.