CARLY ELIZABETH CRULL
NPI 1578021135
Nurse Practitioner - Primary Care in Pontiac, MI
About Carly Elizabeth Crull NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY ELIZABETH CRULL (NPI 1578021135) is an individual primary care provider in Pontiac, Michigan, licensed in Michigan (4704291722) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Elizabeth Crull is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48341 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.
PONTIAC, MI 48341
PONTIAC, MI 48341
PONTIAC, MI 48341
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 Carly Crull's NPI number?
The NPI number for Carly Crull is 1578021135. It was assigned to this individual provider in the NPPES registry on March 3, 2019.
Where is Carly Crull located?
Carly Crull practices at 44405 Woodward Ave, Pontiac, MI 48341. The listed phone number is (248) 858-3000.
What is Carly Crull's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Carly Crull enrolled in Medicare?
Yes. Carly Crull is registered in the Medicare PECOS enrollment system.
What insurance does Carly Crull accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Carly Crull as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carly Crull was last updated on March 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Carly Elizabeth Crull · NPI 1578021135
Primary Care physician in Pontiac, Michigan. Individual provider, active in the CMS NPPES registry since March 3, 2019.
## Identity
- **NPI:** 1578021135 (Entity type: Individual)
- **Enumerated:** March 3, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704291722 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 44405 WOODWARD AVE, Pontiac, MI 48341-5023
- **Phone:** (248) 858-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 3, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1578021135) · Data from the CMS NPPES public registry.