JACQUELINE NICOLE BROWN CRAWFORD
NPI 1144102708
Nurse Practitioner - Family in Philadelphia, PA
About Jacqueline Nicole Brown Crawford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE NICOLE BROWN CRAWFORD (NPI 1144102708) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP033422) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fairmont, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Nicole Brown Crawford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Jacqueline Brown Crawford reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennett Square, PA 19348
- Reassigned Medicare billing, Pennsylvania enrollment
- 90 clinicians in this Medicare group
Baltimore, MD 21237
- Reassigned Medicare billing, Pennsylvania enrollment
- 93 clinicians in this Medicare group
Erie, PA 16508
- Reassigned Medicare billing, Pennsylvania enrollment
- 11 clinicians in this Medicare group
Gardendale, AL 35071
- Reassigned Medicare billing, Pennsylvania enrollment
- 92 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19124
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 Jacqueline Brown Crawford's NPI number?
The NPI number for Jacqueline Brown Crawford is 1144102708. It was assigned to this individual provider in the NPPES registry on July 24, 2025.
Where is Jacqueline Brown Crawford located?
Jacqueline Brown Crawford practices at 4640 E Roosevelt Blvd Ste 3, Philadelphia, PA 19124. The listed phone number is (215) 315-1414.
What is Jacqueline Brown Crawford's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Brown Crawford enrolled in Medicare?
Yes. Jacqueline Brown Crawford is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jacqueline Brown Crawford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Brown Crawford reassigns Medicare benefits to 4 organizations: Geps Physician Group Of Pennsylvania PC (Kennett Square, PA), Alignmed Medical Group, PC (Baltimore, MD), Truhealth Of Pennsylvania LLC (Erie, PA) and Alignmed Partners, PC (Gardendale, AL). Each 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 Jacqueline Brown Crawford'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 Jacqueline Brown Crawford was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Jacqueline Nicole Brown Crawford · NPI 1144102708
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 24, 2025.
## Identity
- **NPI:** 1144102708 (Entity type: Individual)
- **Enumerated:** July 24, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP033422 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 4640 E ROOSEVELT BLVD STE 3, Philadelphia, PA 19124-2300
- **Phone:** (215) 315-1414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Geps Physician Group Of Pennsylvania PC (NPI 1467471615, Kennett Square, PA); Alignmed Medical Group, PC (NPI 1366289423, Baltimore, MD); Truhealth Of Pennsylvania LLC (NPI 1114741634, Erie, PA); Alignmed Partners, PC (NPI 1881109452, Gardendale, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** April 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144102708) · Data from the CMS NPPES public registry.