KELLY ELAINE CROWLEY APN
NPI 1205234903
Nurse Practitioner - Family in Hackensack, NJ

Active since December 11, 2014PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
30 PROSPECT AVE, HACKENSACK, NJ 07601(201) 487-8987 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 16, 2021, Jun 21, 2019, Mar 17, 2018 (3 updates tracked since 2018).

About Kelly Elaine Crowley Apn NPPES

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

KELLY ELAINE CROWLEY APN (NPI 1205234903) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00540800) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205234903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ELAINE CROWLEYCredential: APN
Location Address30 PROSPECT AVEHackensack, NJ 07601-1915
Mailing Address30 Prospect Ave # TciHackensack, NJ 07601-1915 · (201) 487-8987
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 11, 2014
Last NPPES UpdateMarch 16, 20213 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
NPI 1205234903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ00540800
30 PROSPECT AVE, Hackensack, NJ 07601

Other Names 1

Former Name (1)Kelly Elaine Wight Apn

Secondary Practice Location 1

Location 1201 Lyons Ave, L5Newark, NJ 07112 · Phone (973) 926-7161

Other Identifiers 1

Medicaid1205234903NJ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Elaine Crowley Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123300175
PECOS Enrollment IDI20170126002060
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 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Kelly Crowley's NPI number?

The NPI number for Kelly Crowley is 1205234903. It was assigned to this individual provider in the NPPES registry on December 11, 2014. The provider is also known as Kelly Elaine Wight Apn.

Where is Kelly Crowley located?

Kelly Crowley practices at 30 Prospect Ave, Hackensack, NJ 07601. The listed phone number is (201) 487-8987.

What is Kelly Crowley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Crowley enrolled in Medicare?

Yes. Kelly Crowley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Crowley was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.