JENNIFER CRUTCHFIELD SQUIRES M.D.
NPI 1073834214
Pediatrics in Charlotte, NC

Active since June 22, 2010PECOS Enrolled
2630 E 7TH ST STE 101, CHARLOTTE, NC 28204(704) 384-1000(704) 384-1012 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jennifer Crutchfield Squires M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER CRUTCHFIELD SQUIRES M.D. (NPI 1073834214) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (2013-01668) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073834214
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER CRUTCHFIELD SQUIRESCredential: M.D.
Location Address2630 E 7TH ST STE 101Charlotte, NC 28204-4319
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1000 · Fax (704) 384-1012
Fax(704) 384-1012
Sole ProprietorNo
Enumeration DateJune 22, 2010
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedSeptember 6, 2020
NPI 1073834214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in NC · 2013-01668 Licensed in GA · 4240
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2630 E 7TH ST STE 101, Charlotte, NC 28204

Other Identifiers 1

Medicaid1073834214NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Crutchfield Squires M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
2630 E 7TH ST STE 101
CHARLOTTE, NC 28204
Pediatrics
2630 E 7TH ST STE 101
CHARLOTTE, NC 28204
Pediatrics
2630 E 7TH ST STE 101
CHARLOTTE, NC 28204
Pediatrics
2630 E 7TH ST STE 101
CHARLOTTE, NC 28204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073834214, enumerated as an "individual" on June 22, 2010.

The provider is located at 2630 E 7TH ST STE 101 CHARLOTTE, NC 28204 and the phone number is (704) 384-1000.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.