ALEXIS CROCKETT
NPI 1063207157
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Alexis Crockett NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXIS CROCKETT (NPI 1063207157) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alexis Crockett is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alexis Crockett's NPI number?
The NPI number for Alexis Crockett is 1063207157. It was assigned to this individual provider in the NPPES registry on April 10, 2025.
Where is Alexis Crockett located?
Alexis Crockett practices at 4201 Saint Antoine St # 5C, Detroit, MI 48201. The listed phone number is (313) 577-4342.
What is Alexis Crockett's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Alexis Crockett enrolled in Medicare?
Yes. Alexis Crockett is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alexis Crockett was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alexis Crockett · NPI 1063207157
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 10, 2025.
## Identity
- **NPI:** 1063207157 (Entity type: Individual)
- **Enumerated:** April 10, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 4201 SAINT ANTOINE ST # 5C, Detroit, MI 48201-2153
- **Phone:** (313) 577-4342
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063207157) · Data from the CMS NPPES public registry.