Individual provider Active NPI

Nancy Ann Crummel, FNP

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1922003367
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704114336 Issued in MI
Practice address
1211 W Front St
Traverse City, MI 49684-2317
Phone
(231) 935-4886
NPI assigned
Jun 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704114336 MI Primary

Addresses

Primary practice location

1211 W Front St
Traverse City, MI 49684-2317

Mailing address

5231 Arlington LN
Traverse City, MI 49684-7933
Phone (231) 932-1942

Other identifiers 1

IdentifierTypeStateIssuer
3414075MedicaidMI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250924003436 MI Order and Referring Only - Nurse Practitioner 3173544673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy a Crummel, MSN, FNP, PC CurrentSince Mar 1, 2006 Accepting new patients
Indigo Services, PLC Past Accepting new patients

Locations

1211 W Front St
Traverse City, MI 49684
Phone (231) 935-4886

Interoperability endpoints

  • Direct secure messaging: nancy.crummel.2@28492.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1922003367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5231 ARLINGTON LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847933",
            "telephone_number": "231-932-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842317",
            "telephone_number": "231-935-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMMEL",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704114336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3414075",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.