ANITA CRAWLEY PNP
NPI 1205919636
Nurse Practitioner - Pediatrics in Buffalo, NY
NPI Status: Active since October 21, 2006
Contact Information
1001 MAIN ST FL 4
BUFFALO, NY
ZIP 14203
Phone: (716) 323-0080
Fax: (716) 323-0295
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- PECOS Enrolled
About ANITA CRAWLEY
This page provides the complete NPI Profile along with additional information for Anita Crawley, a provider established in Buffalo, New York with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1205919636 assigned on October 2006. The practitioner's primary taxonomy code is 363LP0200X with license number F380702 (NY). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1205919636
- Provider Name
- ANITA CRAWLEY PNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1001 MAIN ST FL 4 BUFFALO, NY 14203
- Location Phone
- (716) 323-0080
- Location Fax
- (716) 323-0295
- Mailing Address
- 1001 MAIN ST FL 5 BUFFALO, NY 14203
- Mailing Phone
- (716) 323-0080
- Mailing Fax
- (716) 323-0295
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-21-2006
- Last Update Date
- 01-13-2021
- Code Navigator
A nurse practitioner (NP) like Anita Crawley is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- F380702
- License State
- NY
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 406983 (NY) |
| 2 | 2080P0206X | Allopathic & Osteopathic Physicians | Pediatrics | F380702 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000560684001 | OTHER (01) | NY | BC/BS |
| 00027166101 | OTHER (01) | NY | UNIVERA |
| 0018168500001 | OTHER (01) | PA MEDICAID | |
| 02244484 | MEDICAID (05) | NY | |
| 040426002817 | OTHER (01) | NY | FIDELIS |
| 5111042 | OTHER (01) | NY | IHA |
Medicare Participation & PECOS Enrollment Status
Anita Crawley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 14203 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.93
- Minimum New Patient Price $54.87
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.08
- Minimum Established Patient Price $17.54
- Maximum Established Patient Price $136.14
- Average Established Patient Copayment $24.27
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.03
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 0 | 5 | 9 | 1 | 9 | 6 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 0 | 5 | 18 | 1 | 18 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 0 + 5 + 1 + 8 + 1 + 1 + 8 + 6 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1205919636 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497714968 | TOVA ABLOVE MD Individual | Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 636-8284 |
| 1821110263 | DR. FAYE ELIZABETH JUSTICIA-LINDE MD Individual | Obstetrics & Gynecology | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 636-8284 |
| 1982867941 | JOSEPH A DE NAGY DO Individual | Obstetrics & Gynecology | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 636-8284 |
| 1346454089 | VIJAY HOTCHAND ASWANI MD Individual | Internal Medicine | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 961-9400 |
| 1871130138 | NICOLE SHEA PH.D. Individual | Psychologist | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0110 |
| 1730709841 | AYA OUF Individual | Student in an Organized Health Care Education/Training Program | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 829-5060 |
| 1427679752 | MISS SAMANTHA JO PAOLINI MS, RD Individual | Dietitian, Registered (Nutrition, Pediatric) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0186 |
| 1114954799 | MISS COLLEEN ANN HURLEY CPNP Individual | Nurse Practitioner (Pediatrics) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0220 |
| 1386749398 | HEATHER KAUFMAN MD Individual | Pediatrics | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0034 |
| 1316027071 | TAOSHENG HUANG MD Individual | Medical Genetics (Clinical Genetics (M.D.)) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0040 |
| 1073728002 | DR. OSAMA FAROUQ ALMADHOUN M.D Individual | Pediatrics (Pediatric Gastroenterology) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0080 |
| 1639330376 | DR. VALERIE DAWN ELBERSON M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0260 |
| 1477704609 | BREE CYRENE KRAMER DO Individual | Pediatrics (Pediatric Critical Care Medicine) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0200 |
| 1477519023 | MARSHA BURNS KAY LANGAN PNP Individual | Nurse Practitioner (Pediatrics) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0034 |
| 1174571152 | DR. MICHELLE DOLORES PENQUE MD Individual | Pediatrics (Pediatric Emergency Medicine) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0260 |
| 1417985722 | DR. STEPHEN J TURKOVICH MD Individual | Pediatrics | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0260 |
| 1871687590 | DR. SHAMIM M ISLAM Individual | Pediatrics | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0150 |
| 1619058567 | TAMARA C TEMPFER PNP Individual | Nurse Practitioner (Pediatrics) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0034 |
| 1760565105 | LUCY DIANE MASTRANDREA MD, PH Individual | Pediatrics (Pediatric Endocrinology) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0170 |
| 1982850160 | AMANDA B. HASSINGER M.D, Individual | Pediatrics (Sleep Medicine) | 1001 MAIN ST FL 4 BUFFALO, NY 14203 (716) 323-0110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205919636, enumerated in the NPI registry as an "individual" on October 21, 2006
The provider is located at 1001 Main St Fl 4 Buffalo, Ny 14203 and the phone number is (716) 323-0080
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.93 with an average copayment of $21.23 for new patient appointments. Established patients should expect a typical charge of $97.08 and an average copayment of 24.27. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.