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NYDIA MCCROHAN MD
NPI 1104142355
Internal Medicine - Hospice and Palliative Medicine in Charlotte, NC

Active since April 13, 2010PECOS Enrolled
10628 PARK RD, CHARLOTTE, NC 28210(704) 512-5363 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 14, 2022, Jan 5, 2022, Dec 10, 2021 and 48 more (51 updates tracked since 2016).

About Nydia Mccrohan Md NPPES

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

NYDIA MCCROHAN MD (NPI 1104142355) is an individual hospice and palliative medicine provider in Charlotte, North Carolina, licensed in North Carolina (2016-00830) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1104142355
Entity TypeIndividualFemale
Primary Taxonomy207RH0002X
Provider Legal NameNYDIA MCCROHANCredential: MD
Location Address10628 PARK RDCharlotte, NC 28210-8407
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 512-5363
Sole ProprietorNo
Enumeration DateApril 13, 2010
Last NPPES UpdateApril 14, 202251 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1104142355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in NC · 2016-00830
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
10628 PARK RD, Charlotte, NC 28210
Open in Google Maps ↗

Secondary Practice Locations 4

Location 11000 Blythe BlvdCharlotte, NC 28203-5812 · Phone (704) 512-5363
Location 22001 Vail AveCharlotte, NC 28207-1248 · Phone (704) 512-5363
Location 3433 McAlister Rd, FL 1Lincolnton, NC 28092-4147 · Phone (704) 512-5363
Location 48800 N Tryon StCharlotte, NC 28262-3300 · Phone (704) 512-5363

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nydia Mccrohan Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Nydia Mccrohan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carolinas Physicians Network Inc
Same address
Hospitalist
10628 PARK RD
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • Also billed through NPI 1548876923 (North Carolina)
  • 1,646 clinicians in this Medicare group
NPI 1093038887 (704) 667-7070

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. RICHARD RALPH PAGANO MD
Anesthesiology
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
BENJAMIN JOEL ROBERTS CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
MR. GREGORY A DUGGAN CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
NGOC BAO NGUYEN PA
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-7070
CATHERINE HALLEY
Registered Nurse (Critical Care Medicine)
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
CHERYL SPEIGHT MASTROIANNI CRNA
Nurse Anesthetist, Certified Registered
10628 PARK RD, ANESTHESIA DEPARTMENT
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1000
REAGAN FRANCES NORVELL
Physician Assistant
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 446-6810
DR. LINDA J. MATTHEWS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10628 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 973-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nydia Mccrohan's NPI number?

The NPI number for Nydia Mccrohan is 1104142355. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Nydia Mccrohan located?

Nydia Mccrohan practices at 10628 Park Rd, Charlotte, NC 28210. The listed phone number is (704) 512-5363.

What is Nydia Mccrohan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Nydia Mccrohan enrolled in Medicare?

Yes. Nydia Mccrohan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nydia Mccrohan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nydia Mccrohan reassigns Medicare benefits to Carolinas Physicians Network Inc (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nydia Mccrohan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nydia Mccrohan was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.