MRS. MICHELLE RENEE CRUMBLEY (NP) – Nurse Practitioner, NPI 1023445418

MRS. MICHELLE RENEE CRUMBLEY (NP) is a healthcare provider. based in Mcdonough, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN221959 (GA). The NPI Number for MRS. MICHELLE RENEE CRUMBLEY (NP) is 1023445418

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE RENEE CRUMBLEY (NP)
NPI
1023445418
Phone
(770) 957-8626
Address
101 REGENCY PARK DR STE 140
Enumeration Date
1 October 2013
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
6787321519
Graduation Year
2013 (13 years ago)
PAC ID
9032422159
Group Practice PAC ID
8921176231
Professional Enrollment ID
I20150817002059
Address ID
GA300527314LO4398XHWYX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:12State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for MRS. MICHELLE RENEE CRUMBLEY (NP)

  • 101 REGENCY PARK DR STE 140

    MCDONOUGH, GA 302537076

    Phone: (770) 957-8626

    Fax: (770) 957-7200

    Type: Location

  • 1500 Oglethorpe Ave

    Athens, GA 306062179

    Phone: (706) 208-1406

    Type: Location

  • 4398 ATLANTA HWY

    LOGANVILLE, GA 300527314

    Phone: (404) 948-3019

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($45).

Total Amount

$45

General + Research + Ownership

Payments

2

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SANOFI PASTEUR INC.$45
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150817002059INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30253)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921176231View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerMN
Nurse PractitionerSC
Nurse PractitionerGA
Family Practice, General PracticeGA
Physician AssistantSC
-GA
General Practice, Family PracticeSC
Nurse PractitionerGA

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. MICHELLE RENEE CRUMBLEY (NP)?
NPI 1023445418 is assigned to MRS. MICHELLE RENEE CRUMBLEY (NP) under the national enumeration system.
Is MRS. MICHELLE RENEE CRUMBLEY (NP)'s NPI currently valid?
The extract we use shows MRS. MICHELLE RENEE CRUMBLEY (NP) as active.
What field does MRS. MICHELLE RENEE CRUMBLEY (NP) work in?
You can think of MRS. MICHELLE RENEE CRUMBLEY (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MRS. MICHELLE RENEE CRUMBLEY (NP)'s primary listing?
We display Mcdonough, Georgia because that is what the record indicates for MRS. MICHELLE RENEE CRUMBLEY (NP).
What if Mcdonough, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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