MS. DENISE MARIE CROKEN NP
NPI 1073083168
Nurse Practitioner - Family in Dorchester, MA

Active since November 30, 2018PECOS EnrolledAccepts Medicare Assignment
637 WASHINGTON ST, DORCHESTER, MA 02124(617) 825-9660 Get Directions Write a Review

NPPES record last updated: May 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2019, Nov 30, 2018 (2 updates tracked since 2018).

About Ms. Denise Marie Croken Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DENISE MARIE CROKEN NP (NPI 1073083168) is an individual family provider in Dorchester, Massachusetts, licensed in Massachusetts (RN237230) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1073083168
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. DENISE MARIE CROKENCredential: NP
Location Address637 WASHINGTON STDorchester, MA 02124-3510
Mailing Address1 Richard StRevere, MA 02151-1141 · (781) 724-9135
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 30, 2018
Last NPPES UpdateMay 21, 20192 updates tracked since enumeration
NPI 1073083168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN237230
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN237230 (MA)
637 WASHINGTON ST, Dorchester, MA 02124

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Denise Marie Croken Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345583019
PECOS Enrollment IDI20190521000597
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
75 services33 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
51 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
637 WASHINGTON ST
BOSTON, MA 02124
Student in an Organized Health Care Education/Training Program
637 WASHINGTON ST
DORCHESTER, MA 02124
Family Medicine
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Nurse Practitioner (Family)
637 WASHINGTON ST
BOSTON, MA 02124
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Social Worker
637 WASHINGTON ST
DORCHESTER CENTER, MA 02124
Pharmacy (Community/Retail Pharmacy)
637 WASHINGTON ST
DORCHESTER, MA 02124
Pharmacy (Community/Retail Pharmacy)
637 WASHINGTON ST
DORCHESTER, MA 02124

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 Denise Croken's NPI number?

The NPI number for Denise Croken is 1073083168. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Denise Croken located?

Denise Croken practices at 637 Washington St, Dorchester, MA 02124. The listed phone number is (617) 825-9660.

What is Denise Croken's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Denise Croken enrolled in Medicare?

Yes. Denise Croken is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Denise Croken accept?

Health plans from Anthem Blue Cross and Blue Shield list Denise Croken as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Denise Croken was last updated on May 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.