BETHANY CROWLEY MD
NPI 1972208346
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since April 04, 2023PECOS Enrolled
301 PROSPECT AVE, SYRACUSE, NY 13203(315) 448-5111 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethany Crowley Md NPPES

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

BETHANY CROWLEY MD (NPI 1972208346) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972208346
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBETHANY CROWLEYCredential: MD
Location Address301 PROSPECT AVESyracuse, NY 13203-1807
Mailing Address301 Prospect AveSyracuse, NY 13203-1807
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1972208346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
301 PROSPECT AVE, Syracuse, NY 13203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Crowley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305303355
PECOS Enrollment IDI20260810001519
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 Reassignment

Medicare enrollment records show Bethany Crowley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 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.

Family Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Nurse Anesthetist, Certified Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Dietitian, Registered
301 PROSPECT AVE
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPT OF ANESTHESIA
SYRACUSE, NY 13203
Anesthesiology
301 PROSPECT AVE, DEPARTMENT OF ANESTHESIA
SYRACUSE, NY 13203
Emergency Medicine
301 PROSPECT AVE
SYRACUSE, NY 13203
Licensed Practical Nurse
301 PROSPECT AVE, ST. JOSEPH'S HOSPITAL
SYRACUSE, NY 13203
Student in an Organized Health Care Education/Training Program
301 PROSPECT AVE
SYRACUSE, NY 13203

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 Bethany Crowley's NPI number?

The NPI number for Bethany Crowley is 1972208346. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Bethany Crowley located?

Bethany Crowley practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 448-5111.

What is Bethany Crowley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bethany Crowley enrolled in Medicare?

Yes. Bethany Crowley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethany Crowley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Crowley reassigns Medicare benefits to St Josephs Medical PC (Liverpool, NY). 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 Bethany Crowley'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 Bethany Crowley was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.