MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1396353983

MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) is a healthcare provider. based in Clawson, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704274347 (MI). The NPI Number for MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) is 1396353983

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER)
NPI
1396353983
Phone
Not provided
Address
447 N ROCHESTER RD APT 120
Enumeration Date
20 July 2020
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485513300
Graduation Year
2009 (17 years ago)
PAC ID
3072989763
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20221020002949
Address ID
MI480736710RO3581XBCCX601

Contacts

Secure Messaging
mcrupi1468787@epic00.shdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER)

  • 447 N ROCHESTER RD APT 120

    CLAWSON, MI 480171757

    Phone:

    Type: Mailing

  • 26901 BEAUMONT BLVD

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 3577 W 13 MILE RD STE 140

    ROYAL OAK, MI 480736710

    Phone: (248) 551-3388

    Type: Location

  • 447 N Rochester Rd Apt 120

    Clawson, MI 480171757

    Phone: (248) 840-5786

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-10-20

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
I20221020002949INurse PractitionerMITBD

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 48017)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER)?
MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) — NPI 1396353983 — is the standard way to identify this listing.
Is MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) still practicing?
MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) is currently listed as active in the public NPI registry.
What is MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) best known for clinically?
Directory data describes MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER)?
MRS. MARY-ANNE CRUPI (NURSE PRACTITIONER)'s geographic hint is Clawson, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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