Mrs Jennifer Nicole Crockett, NP - Medicare Nurse Practitioner in Quinton, VA

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Mrs Jennifer Nicole Crockett, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Quinton, Virginia. Her current practice location is 1460 Yakima Rd, Quinton, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 814-7814.

Mrs Jennifer Nicole Crockett is licensed to practice in Virginia (license number 0024192617) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649075441.

Contact Information

Mrs Jennifer Nicole Crockett, NP
1460 Yakima Rd,
Quinton, VA 23141-1935
(804) 814-7814
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jennifer Nicole Crockett
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location1460 Yakima Rd, Quinton, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649075441
  • Provider Enumeration Date: 02/17/2025
  • Last Update Date: 02/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375508401
  • Enrollment ID: I20250522000709

Medical Identifiers

Medical identifiers for Mrs Jennifer Nicole Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649075441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 0024192617 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer Nicole Crockett allows following entities to bill medicare on her behalf.
Entity NameClark Alliance Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952892028
PECOS PAC ID: 8325475981
Enrollment ID: O20200221000372
Entity NameClark Palliative Medicine Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417680612
PECOS PAC ID: 6901289461
Enrollment ID: O20220816001022

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Nicole Crockett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Nicole Crockett, NP
1460 Yakima Rd,
Quinton, VA 23141-1935

Ph: (804) 814-7814		Mrs Jennifer Nicole Crockett, NP
1460 Yakima Rd,
Quinton, VA 23141-1935

Ph: (804) 814-7814

Reviews and Comments


Nurse Practitioner Nurses in Quinton, VA

Ms. Candace Loucks, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7493 Patriots Landing Pl, Quinton, VA 23141
Phone: 804-244-0459    
Mrs. Margaret Mountcastle, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141
Phone: 804-932-4388    Fax: 804-932-9860
Mary Vann,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1850 Pocahontas Trl, Quinton, VA 23141
Phone: 804-932-4388    Fax: 804-932-1003
Marietah Kilundo,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11300 Continental Rd, Quinton, VA 23141
Phone: 804-694-9585    
Suzanna Hunter Goode, LNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8770 Matoaka Glen Rd, Quinton, VA 23141
Phone: 804-929-8255    
Jenny L Brady, MSN, RN, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7410 Cooper Tavern Rd Ste B, Quinton, VA 23141
Phone: 804-223-3608    Fax: 804-223-3648

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.