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Dawn Marie Craddock, FNP-C

NPI 1174043020ActiveIndividual· Nurse Practitioner· Pontiac, MI

Nurse Practitioner (FNP-C) in Pontiac, Michigan, licensed in MI, with an NPI issued in June 2017. 54 Medicare patients in 2024, $6,946 paid; nearly all of their 141 Part D prescriptions were generic (99%).

Overview

NPI1174043020
StatusActive
Entity typeIndividual
CredentialFNP-C
Sole proprietorNo
NPI issuedJun 22, 2017
Last updated in NPPESNov 7, 2023
Certified by providerNov 7, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X4704284552MI
Nurse Practitioner, Family363LF0000X4704284552MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients54
Services billed77 across 4 procedure codes
Paid by Medicare$6,946

Part D prescriptions in 2024

Prescriptions (claims)141 · 141 30-day fills
Patients45
Total drug cost$6,286
Generic share99% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Pontiac

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