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JACQUELINE FAYE CROOPNICK, LLC
NPI 1346588456
Obstetrics & Gynecology in Brookline, MA

Active since January 24, 2013CLIA 22D1084461 · Microscopy
1 BROOKLINE PL, SUITE 423, BROOKLINE, MA 02445(617) 566-1535 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Faye Croopnick, Llc NPPES

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

JACQUELINE FAYE CROOPNICK, LLC (NPI 1346588456) is a healthcare organization registered as an obstetrics & gynecology in Brookline, Massachusetts and active in the NPI registry since January 2013. The organization holds a CLIA Microscopy certificate valid through May 22, 2028 and lists Jacqueline Croopnick, Owner, as its authorized official.

NPPES Registry Identity

NPI1346588456
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJACQUELINE FAYE CROOPNICK, LLC
Location Address1 BROOKLINE PL, SUITE 423Brookline, MA 02445-7224
Mailing Address1 Brookline Pl, Suite 423Brookline, MA 02445-7224
Phone(617) 566-1535
Organization SubpartNo
Authorized OfficialJacqueline CroopnickOwner · (617) 566-1535
Enumeration DateJanuary 24, 2013
✔ NPI 1346588456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 216090
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1 BROOKLINE PL, Brookline, MA 02445
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Faye Croopnick, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jacqueline Faye Croopnick, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Croopnick, M.D.
Obstetrics/Gynecology
NPI 1881787919
1 BROOKLINE PL STE 423
Brookline, MA 02445
(617) 332-9669
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 22D1084461

Jacqueline Croopnick MD · Brookline, MA
Active · expires May 22, 2028
CLIA Number22D1084461
Laboratory TypePhysician Office
Certificate Effective DateMay 23, 2026
Certificate Expiration DateMay 22, 2028
Laboratory DirectorJacqueline Croopnick MD
Laboratory Phone(617) 566-1535
Laboratory LocationJacqueline Croopnick MDOne Brookline Pl, Ste 423, Brookline, MA 02445
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Faye Croopnick, LLC's NPI number?

The NPI number for Jacqueline Faye Croopnick, LLC is 1346588456. It was assigned to this organization in the NPPES registry on January 24, 2013.

Where is Jacqueline Faye Croopnick, LLC located?

Jacqueline Faye Croopnick, LLC is located at 1 Brookline Pl Suite 423, Brookline, MA 02445. The listed phone number is (617) 566-1535.

What is Jacqueline Faye Croopnick, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jacqueline Faye Croopnick, LLC enrolled in Medicare?

Yes. Jacqueline Faye Croopnick, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacqueline Faye Croopnick, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Jacqueline Faye Croopnick, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jacqueline Faye Croopnick, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 22D1084461) is associated with this NPI, valid through May 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jacqueline Faye Croopnick, LLC was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.