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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jacqueline Nicole Brown Crawford is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 4 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
- **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.