Mrs Lady Crockett, MSN, APRN-CNP, PMHNP - Medicare Nurse Practitioner in Springdale, OH

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Mrs Lady Crockett, MSN, APRN-CNP, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Springdale, Ohio. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1329 E Kemper Rd Ste 4220b, Springdale, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 790-4367.

Mrs Lady Crockett is licensed to practice in Ohio (license number 0029189) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1548522436.

Contact Information

Mrs Lady Crockett, MSN, APRN-CNP, PMHNP
1329 E Kemper Rd Ste 4220b,
Springdale, OH 45246-5100
(513) 790-4367
(513) 572-7142

Map and Direction




Provider's Profile

Full NameMrs Lady Crockett
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1329 E Kemper Rd Ste 4220b, Springdale, Ohio
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Lady Crockett graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1548522436
  • Provider Enumeration Date: 06/15/2012
  • Last Update Date: 10/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9537566716
  • Enrollment ID: I20251217004532

Medical Identifiers

Medical identifiers for Mrs Lady Crockett such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548522436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 0029189 (Ohio)Primary
163W00000XRegistered Nurse 979974 (New York)Secondary
163W00000XRegistered Nurse 384621 (Ohio)Secondary

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 Lady 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 Lady Crockett, MSN, APRN-CNP, PMHNP
1329 E Kemper Rd Ste 4220b,
Springdale, OH 45246-5100

Ph: (513) 790-4367		Mrs Lady Crockett, MSN, APRN-CNP, PMHNP
1329 E Kemper Rd Ste 4220b,
Springdale, OH 45246-5100

Ph: (513) 790-4367

Reviews and Comments


Nurse Practitioner Nurses in Springdale, OH

Lauren Marie Robertson,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 11568 Springfield Pike, Springdale, OH 45246
Phone: 513-964-0831    Fax: 855-412-7814

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.