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JANICE E CROGNALE M.D.
NPI 1316048861
Family Medicine in South Hamilton, MA

Active since September 26, 2006PECOS Enrolled
205 WILLOW ST, LAHEY HEALTH PRIMARY CARE, HAMILTON-WENHAM, SOUTH HAMILTON, MA 01982(978) 468-7346(978) 468-6628 Get Directions Write a Review

NPPES record last updated: August 17, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Janice E Crognale M.d. NPPES

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

JANICE E CROGNALE M.D. (NPI 1316048861) is an individual family medicine provider in South Hamilton, Massachusetts, licensed in Massachusetts (152326) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316048861
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJANICE E CROGNALECredential: M.D.
Location Address205 WILLOW ST, LAHEY HEALTH PRIMARY CARE, HAMILTON-WENHAMSouth Hamilton, MA 01982-2255
Mailing Address205 Willow St, Lahey Health Primary Care, Hamilton-wenhamSouth Hamilton, MA 01982-2255 · (978) 468-7346 · Fax (978) 468-6628
Phone(978) 468-7346
Fax(978) 468-6628
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateAugust 17, 2015
✔ NPI 1316048861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 152326
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
205 WILLOW ST, South Hamilton, MA 01982
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Other Identifiers 3

Medicaid110060085AMA
Medicare PINA2846801MA
Medicare UPING71991MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Janice E Crognale 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Janice Crognale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lahey Clinic, Inc
6.4 mi
Internal Medicine
1 ESSEX CENTER DR
Peabody, MA 01960
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,841 clinicians in this Medicare group
NPI 1063447316 (781) 744-8000
Middleton Family Medicine Urgent Care, LLC
7.1 mi
Clinic/Center
147 S MAIN ST
Middleton, MA 01949
  • Reassigned Medicare billing, Massachusetts enrollment
  • 70 clinicians in this Medicare group
NPI 1902215106 (978) 774-2555

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services58 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
20 services20 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
17 services17 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01982 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 11

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

MS. SARAH ANNE BRAUCHER LICSW
Social Worker (Clinical)
205 WILLOW ST, SUITE 1B
SO HAMILTON, MA 01982
Essex County (978) 977-2563
PABLO POLISCHUK PH.D.
Psychologist
205 WILLOW ST
SOUTH HAMILTON, MA 01982
Essex County (978) 468-4151
MS. LIZABETH J FLASH NP
Nurse Practitioner (Psychiatric/Mental Health)
205 WILLOW ST
SOUTH HAMILTON, MA 01982
Essex County (978) 219-7230
PATRICIA C PAYNE NP
Nurse Practitioner (Family)
205 WILLOW ST, BUILDING C
SOUTH HAMILTON, MA 01982
Essex County (978) 468-7346
HAYLEY MOAK-BLEST D.O.
Family Medicine
205 WILLOW ST
SOUTH HAMILTON, MA 01982
Essex County (978) 468-7346
ANN STEWART COUNSELING, LLC
Community/Behavioral Health
205 WILLOW ST
SOUTH HAMILTON, MA 01982
Essex County (978) 233-1206
ANDREW S LENHARDT M.D.
Family Medicine
205 WILLOW ST
SOUTH HAMILTON, MA 01982
Essex County (978) 468-7346
JESSICA REDIS
Social Worker (Clinical)
205 WILLOW ST, 205 WILLOW STREET
SOUTH HAMILTON, MA 01982
Essex County (978) 468-7346

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 Janice Crognale's NPI number?

The NPI number for Janice Crognale is 1316048861. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Janice Crognale located?

Janice Crognale practices at 205 Willow St Lahey Health Primary Care, Hamilton-Wenham, South Hamilton, MA 01982. The listed phone number is (978) 468-7346.

What is Janice Crognale's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Janice Crognale enrolled in Medicare?

Yes. Janice Crognale is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Janice Crognale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Janice Crognale reassigns Medicare benefits to 2 organizations: Lahey Clinic, Inc (Peabody, MA) and Middleton Family Medicine Urgent Care, LLC (Middleton, MA). 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 Janice Crognale'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 Janice Crognale was last updated on August 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.