MS. MARY AGNES CRADDOCK ARNP
NPI 1417033317
Nurse Practitioner - Family in Hackettstown, NJ

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
653 WILLOW GROVE ST STE 2000, HACKETTSTOWN, NJ 07840(908) 441-7201(908) 441-1292 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Mary Agnes Craddock Arnp NPPES

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

MS. MARY AGNES CRADDOCK ARNP (NPI 1417033317) is an individual family provider in Hackettstown, New Jersey, licensed in New Jersey (26NJ14889300) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417033317
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARY AGNES CRADDOCKCredential: ARNP
Location Address653 WILLOW GROVE ST STE 2000Hackettstown, NJ 07840-1789
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495
Fax(908) 441-1292
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
NPI 1417033317 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
Licenses Licensed in NJ · 26NJ14889300 Licensed in FL · ARNP3243012
653 WILLOW GROVE ST STE 2000, Hackettstown, NJ 07840

Secondary Practice Locations 2

Location 113000 Bruce B Downs BlvdTampa, FL 33612-4745 · Phone (813) 972-2000 ext. 1761 · Fax (813) 903-4874
Location 22 N Village Blvd Ste 2ASparta, NJ 07871-3592 · Phone (908) 441-7201 · Fax (908) 441-1292

Other Identifiers 1

Medicaid307999600FL

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

Ms. Mary Agnes Craddock Arnp 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 ID8123129103
PECOS Enrollment IDI20250724000992
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07840 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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Critical Care Medicine)
653 WILLOW GROVE ST STE 2000
HACKETTSTOWN, NJ 07840
Nurse Practitioner (Family)
653 WILLOW GROVE ST STE 2000
HACKETTSTOWN, NJ 07840
Internal Medicine (Pulmonary Disease)
653 WILLOW GROVE ST STE 2000
HACKETTSTOWN, NJ 07840

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 Mary Craddock's NPI number?

The NPI number for Mary Craddock is 1417033317. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Mary Craddock located?

Mary Craddock practices at 653 Willow Grove St Ste 2000, Hackettstown, NJ 07840. The listed phone number is (908) 441-7201.

What is Mary Craddock's specialty?

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

Is Mary Craddock enrolled in Medicare?

Yes. Mary Craddock 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.

Is Mary Craddock affiliated with any hospitals?

According to CMS data, Mary Craddock is affiliated with Morristown Medical Center, Newton Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Craddock was last updated on July 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.