Primary Care House Calls PA
NPI 1770902462ActiveOrganization· Physician Assistant, Medical· Gulf Breeze, FL
Physician Assistant, Medical in Gulf Breeze, Florida, registered in NPPES in April 2014. The authorized official on file is Mary Ann Crumlish, PA, Pa, Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1770902462 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 10, 2014 |
| Last updated in NPPES | Apr 27, 2023 |
| Certified by provider | Apr 27, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA9102271 | FL |
| Nurse Practitioner, Family | 363LF0000X | ARNP1866262 | FL |
| Nurse Practitioner, Gerontology | 363LG0600X | ARNP9102271 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (FL) |
|---|
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