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CARLY ELIZABETH CRULL
NPI 1578021135
Nurse Practitioner - Primary Care in Pontiac, MI

Active since March 03, 2019PECOS Enrolled
44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3000 Get Directions Write a Review

NPPES record last updated: March 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1578021135
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameCARLY ELIZABETH CRULL
Location Address44405 WOODWARD AVEPontiac, MI 48341-5023
Mailing Address3430 Farmers Creek RdMetamora, MI 48455-9791
Phone(248) 858-3000
Sole ProprietorNo
Enumeration DateMarch 3, 2019
✔ NPI 1578021135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MI · 4704291722
44405 WOODWARD AVE, Pontiac, MI 48341
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Elizabeth Crull 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 Carly Crull reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjmh Medical Practice-Smhc
Same address
Internal Medicine
44405 WOODWARD AVE
Pontiac, MI 48341
  • Reassigned Medicare billing, Michigan enrollment
  • 139 clinicians in this Medicare group
NPI 1346284684 (248) 858-6144
Ch Mssp Services Mi PLLC
23 mi
Internal Medicine
400 RENAISSANCE CTR STE 2600
Detroit, MI 48243
  • Reassigned Medicare billing, Michigan enrollment
  • 80 clinicians in this Medicare group
NPI 1609569169 (337) 408-0797

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 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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

DR. KRASSIMIR LALEV DENCHEV M.D.
Anesthesiology (Critical Care Medicine)
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 585-3023
ST. JOSEPH MERCY OAKLAND
General Acute Care Hospital
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
ALEXANDRA SAUNDERS CNM
Advanced Practice Midwife
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 645-0840
LAURENCE ALEXANDER ROBERTS MD
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
HAYLEY ELIZABETH MARCINKOWSKI
Internal Medicine (Critical Care Medicine)
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
DR. LAURA HARNESS DDS
Dentist
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-6100
LEAH LIU
Surgery
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3000
DR. HENRY HUY KHANH NGUYEN M.D.
Radiology (Diagnostic Radiology)
44405 WOODWARD AVE
PONTIAC, MI 48341
Oakland County (248) 858-3266

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.

Which organizations bill Medicare for Carly Crull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Crull reassigns Medicare benefits to 2 organizations: Sjmh Medical Practice-Smhc (Pontiac, MI) and Ch Mssp Services Mi PLLC (Detroit, MI). 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 Carly Crull'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 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.