VIRGINIA CROKE NP
NPI 1851360580
Nurse Practitioner - Adult Health in Concord, MA
NPI Status: Active since March 15, 2006
Contact Information
131 ORNAC
JOHN CUMMING BLDG #200
CONCORD, MA
ZIP 01742
Phone: (978) 287-3436
- Individual
- Female
- Nurse Practitioner
- Adult Health
- PECOS Enrolled
About VIRGINIA CROKE
This page provides the complete NPI Profile along with additional information for Virginia Croke, a provider established in Concord, Massachusetts with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1851360580 assigned on March 2006. The practitioner's primary taxonomy code is 363LA2200X with license number 175037 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1851360580
- Provider Name
- VIRGINIA CROKE NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 131 ORNAC JOHN CUMMING BLDG #200 CONCORD, MA 01742
- Location Phone
- (978) 287-3436
- Mailing Address
- 10 WILLARD ST QUINCY, MA 02169
- Mailing Phone
- (617) 479-1437
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-15-2006
- Last Update Date
- 03-31-2010
- Code Navigator
A nurse practitioner (NP) like Virginia Croke 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 Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 175037
- License State
- MA
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 |
|---|---|---|---|
| NP2655 | MEDICARE ID-TYPE UNSPECIFIED (04) | MA | |
| P13098 | MEDICARE UPIN (02) | MA | |
| M15769 | OTHER (01) | MA | BCBS |
Medicare Participation & PECOS Enrollment Status
Virginia Croke 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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 22 times for 19 patientsPhysician 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 01742 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $97.64
- Minimum New Patient Price $63.72
- Maximum New Patient Price $189.86
- Average New Patient Copayment $24.41
- Minimum New Patient Copayment $15.93
- Maximum New Patient Copayment $47.46
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.18
- Minimum Established Patient Price $21.07
- Maximum Established Patient Price $155.29
- Average Established Patient Copayment $27.79
- Minimum Established Patient Copayment $5.26
- Maximum Established Patient Copayment $38.82
* 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 | 8 | 5 | 1 | 3 | 6 | 0 | 5 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 10 | 1 | 6 | 6 | 0 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 0 + 1 + 6 + 6 + 0 + 5 + 1 + 6 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1851360580 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1962408765 | HYTHO H PANTAZELOS MD Individual | Plastic Surgery | 131 ORNAC STE 510 CONCORD, MA 01742 (978) 369-8777 |
| 1588662407 | STEPHEN B SCHLOSS MD Individual | Urology | 131 ORNAC SUITE 740/50 CONCORD, MA 01742 (978) 369-5551 |
| 1558355131 | SUSAN L CAHILL M.D. Individual | Surgery | 131 ORNAC SUITE 770 CONCORD, MA 01742 (978) 369-4468 |
| 1023004330 | DR. DANIEL H VOGEL M.D. Individual | Otolaryngology | 131 ORNAC SUITE 490 CONCORD, MA 01742 (978) 371-1400 |
| 1619965332 | ANDREA RESCINITI MD Individual | Surgery | 131 ORNAC SUITE 435 CONCORD, MA 01742 (978) 371-7433 |
| 1073594990 | THOMAS LAMATTINA MD Individual | Internal Medicine (Cardiovascular Disease) | 131 ORNAC CONCORD, MA 01742 (978) 371-0796 |
| 1922080241 | JON S DUBOIS M.D. Individual | Internal Medicine (Hematology & Oncology) | 131 ORNAC JOHN CUMMING BLDG #200 CONCORD, MA 01742 (978) 287-3436 |
| 1902889207 | DR. MANDI ZALTAS KUNEN M.D. Individual | Ophthalmology | 131 ORNAC CONCORD, MA 01742 (978) 369-6464 |
| 1952388696 | MICHAEL J MOORE MD, PC Organization | Neurological Surgery | 131 ORNAC JOHN CUMMING BLDG CONCORD, MA 01742 (781) 259-0803 |
| 1891760005 | MARK PHILIP EPSTEIN M.D. Individual | Specialist | 131 ORNAC JOHN CUMING BUILDING SUITE 560 CONCORD, MA 01742 (978) 371-1551 |
| 1144298621 | PETER M BARKIN MD Individual | Internal Medicine (Pulmonary Disease) | 131 ORNAC SUITE 660 CONCORD, MA 01742 (978) 369-4238 |
| 1710955232 | DR. SAROJ JOSHI M.D Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 131 ORNAC 590 JCB CONCORD, MA 01742 (978) 369-7903 |
| 1790746196 | DR. NANA GIRGIS MCMAHON Individual | Pediatrics (Neonatal-Perinatal Medicine) | 131 ORNAC SUITE 470 CONCORD, MA 01742 (978) 369-5050 |
| 1336107309 | ANDREA FRIBUSH M.D. Individual | Internal Medicine (Gastroenterology) | 131 ORNAC SUITE 570 CONCORD, MA 01742 (978) 371-7176 |
| 1962425108 | HEART ASSOCIATES OF CONCORD, LLP Organization | Internal Medicine (Cardiovascular Disease) | 131 ORNAC STE 650 JOHN CUMING BLDG CONCORD, MA 01742 (978) 371-2273 |
| 1164577995 | BARRY L LEVIN MD Organization | Specialist | 131 ORNAC SUITE 760 CONCORD, MA 01742 (978) 341-0060 |
| 1679773667 | ROBERT C. CANTU MD NEUROLOGICAL SURGERY, INC. Organization | Specialist | 131 ORNAC JOHN CUMING BUILDING SUITE 820 CONCORD, MA 01742 (978) 369-1386 |
| 1770774242 | RUSSELL B. BUTLER, MD, PC Organization | Psychiatry & Neurology (Neurology) | 131 ORNAC JCB 730 CONCORD, MA 01742 (978) 369-7812 |
| 1720265770 | PLASTIC SURGICENTER INC Organization | Plastic Surgery | 131 ORNAC JOHN CUMING BUILDING SUITE 510 CONCORD, MA 01742 (978) 369-8777 |
| 1124291141 | BROOKE R SECKEL MD LLC Organization | Plastic Surgery | 131 ORNAC SUITE 700 JOHN CUMING BUILDING CONCORD, MA 01742 (978) 369-4499 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851360580, enumerated in the NPI registry as an "individual" on March 15, 2006
The provider is located at 131 Ornac John Cumming Bldg #200 Concord, Ma 01742 and the phone number is (978) 287-3436
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. 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 $97.64 with an average copayment of $24.41 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes.
This NPI record was last updated on March 15, 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.