Kelly E Crowley, NP in Granger, IN - Medicare Nurse Practitioner

Kelly E Crowley, NP is a medicare enrolled "Nurse Practitioner - Family" in Granger, Indiana. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saint Joseph Regional Medical Center Inc and her current practice location is 12563 State Road 23, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-8300.

Kelly E Crowley is licensed to practice in Indiana (license number 71012221A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730836982.

Contact Information

	Kelly E Crowley, NP
	12563 State Road 23, Granger, IN 46530-9226
	(574) 335-8300
	(574) 335-0775

Map and Direction

Provider's Profile

Full Name	Kelly E Crowley
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	12563 State Road 23, Granger, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly E Crowley graduated from nursing school in 2021

NPI Data:

NPI Number: 1730836982
Provider Enumeration Date: 03/08/2022
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4880089259
Enrollment ID: I20220322000720

Medical Identifiers

Medical identifiers for Kelly E Crowley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730836982	NPI	-	NPPES
1102193309	Other	IN	ANTHEM BCBS
300064808	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71012221A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center	Mishawaka, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Joseph Regional Medical Center Inc	8325950843	126

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly E Crowley allows following entities to bill medicare on her behalf.

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

Entity Name	The South Bend Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073680419 PECOS PAC ID: 3779577937 Enrollment ID: O20040412000439

Entity Name	Saint Joseph Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly E Crowley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly E Crowley, NP 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: (574) 335-8707	Kelly E Crowley, NP 12563 State Road 23, Granger, IN 46530-9226 Ph: (574) 335-8300

Reviews and Comments

Nurse Practitioner Nurses in Granger, IN

Megan Vermilyer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500
Dawn Marie Mahaffey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 4, Granger, IN 46530 Phone: 574-281-0202 Fax: 574-990-4409
Rebecca L Allen-legault, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6910 N Main St Unit 52, Granger, IN 46530 Phone: 574-231-6766 Fax: 833-249-2411
Dr. Sara Golden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1500
Mrs. Tamara L Riess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6913 N Main St, Granger, IN 46530 Phone: 574-647-1550 Fax: 574-243-4306
Emily Peak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 52500 Fir Rd, Granger, IN 46530 Phone: 574-234-8161
Roni Aizigov, CRNA, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 51050 Bittersweet Rd Ste B, Granger, IN 46530 Phone: 718-208-0446 Fax: 574-244-0240

Kelly E Crowley, NP - Medicare Nurse Practitioner in Granger, IN