MARY CROASDALE
NPI 1790934719
Counselor in Conway, NH
About Mary Croasdale NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CROASDALE (NPI 1790934719) is an individual counselor in Conway, New Hampshire and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Croasdale 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Croasdale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Center Conway, NH 03813
- Reassigned Medicare billing, New Hampshire enrollment
- 9 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.
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.
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 Croasdale's NPI number?
The NPI number for Mary Croasdale is 1790934719. It was assigned to this individual provider in the NPPES registry on September 15, 2008.
Where is Mary Croasdale located?
Mary Croasdale practices at 25 W Main St, Conway, NH 03818. The listed phone number is (603) 447-2111.
What is Mary Croasdale's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Mary Croasdale enrolled in Medicare?
Yes. Mary Croasdale 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.
Which organization bills Medicare for Mary Croasdale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Croasdale reassigns Medicare benefits to Northern Human Services (Center Conway, NH). 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 Mary Croasdale'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 Mary Croasdale was last updated on September 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mary Croasdale · NPI 1790934719
Counselor provider in Conway, New Hampshire. Individual provider, active in the CMS NPPES registry since September 15, 2008.
## Identity
- **NPI:** 1790934719 (Entity type: Individual)
- **Enumerated:** September 15, 2008
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 25 W MAIN ST, Conway, NH 03818-6142
- **Phone:** (603) 447-2111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Northern Human Services (NPI 1700955028, Center Conway, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** September 15, 2008
- **Other identifiers:** Other 7706638Y0NH01 (NH); Medicaid 81263824 (NH)
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Source: [NPI Profile](https://npiprofile.com/npi/1790934719) · Data from the CMS NPPES public registry.