SANDRA D CRUMMY
NPI 1376266759
Nurse Practitioner - Family in Philadelphia, PA
About Sandra D Crummy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA D CRUMMY (NPI 1376266759) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP026532) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sandra D Crummy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sandra Crummy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brentwood, TN 37027
- Reassigned Medicare billing, Pennsylvania enrollment
- 99 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 19103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19103
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 Sandra Crummy's NPI number?
The NPI number for Sandra Crummy is 1376266759. It was assigned to this individual provider in the NPPES registry on September 21, 2022.
Where is Sandra Crummy located?
Sandra Crummy practices at 1650 Market St Ste 3600, Philadelphia, PA 19103. The listed phone number is (855) 212-2273.
What is Sandra Crummy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sandra Crummy enrolled in Medicare?
Yes. Sandra Crummy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sandra Crummy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Crummy reassigns Medicare benefits to Monogram Health Professional Services PC (Brentwood, TN). The 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 Sandra Crummy'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 Sandra Crummy was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.
# Sandra D Crummy · NPI 1376266759
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 21, 2022.
## Identity
- **NPI:** 1376266759 (Entity type: Individual)
- **Enumerated:** September 21, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP026532 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 MARKET ST STE 3600, Philadelphia, PA 19103-7334
- **Phone:** (855) 212-2273 · **Fax:** (629) 240-6003
## 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:** Monogram Health Professional Services PC (NPI 1134739089, Brentwood, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2026
- **Other identifiers:** Medicaid 104162206-0004 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376266759) · Data from the CMS NPPES public registry.