MICHAEL DAVID CRUMPLER PA
NPI 1669221040
Physician Assistant - Medical in Washington, NC

Active since May 16, 2024PECOS EnrolledAccepts Medicare Assignment
628 E 12TH ST, WASHINGTON, NC 27889(252) 974-9361 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2025, May 16, 2024 (2 updates tracked since 2024).

About Michael David Crumpler Pa NPPES

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

MICHAEL DAVID CRUMPLER PA (NPI 1669221040) is an individual medical provider in Washington, North Carolina, licensed in North Carolina (0010-15119) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1669221040
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMICHAEL DAVID CRUMPLERCredential: PA
Location Address628 E 12TH STWashington, NC 27889-3409
Mailing Address216 York RdGreenville, NC 27858-5601
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 16, 2024
Last NPPES UpdateFebruary 20, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1669221040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 0010-15119
628 E 12TH ST, Washington, NC 27889

Secondary Practice Location 1

Location 1216 York RdGreenville, NC 27858-5601 · Phone (252) 378-8889

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

Michael David Crumpler Pa 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 ID9830615681
PECOS Enrollment IDI20250424002884
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 2

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Ecu Health Bertie Hospital

Critical Access Hospitals · Windsor, NC
OwnershipVoluntary non-profit - Private
CMS Certification Number341304
Location1403 S King StWindsor, NC 27983 · Bertie County
Emergency services

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.

Nurse Anesthetist, Certified Registered
628 E 12TH ST
WASHINGTON, NC 27889
Nurse Anesthetist, Certified Registered
628 E 12TH ST
WASHINGTON, NC 27889
Nurse Practitioner (Family)
628 E 12TH ST
WASHINGTON, NC 27889
Surgery
628 E 12TH ST
WASHINGTON, NC 27889
Physician Assistant
628 E 12TH ST
WASHINGTON, NC 27889
Home Health
628 E 12TH ST
WASHINGTON, NC 27889
Emergency Medicine
628 E 12TH ST, EMERGENCY DEPARTMENT
WASHINGTON, NC 27889
Family Medicine
628 E 12TH ST
WASHINGTON, NC 27889

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 Michael Crumpler's NPI number?

The NPI number for Michael Crumpler is 1669221040. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Michael Crumpler located?

Michael Crumpler practices at 628 E 12th St, Washington, NC 27889. The listed phone number is (252) 974-9361.

What is Michael Crumpler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Michael Crumpler enrolled in Medicare?

Yes. Michael Crumpler 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 Michael Crumpler affiliated with any hospitals?

According to CMS data, Michael Crumpler is affiliated with Ecu Health Medical Center and Ecu Health Bertie Hospital.

When was this NPI record last updated?

The NPPES record for Michael Crumpler was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.