CLAY JUSTIN CROCKETT PMHNP-BC
NPI 1164120150
Nurse Practitioner - Psychiatric/Mental Health in Gilbert, AZ

Q: What is Clay Crockett's NPI number?

The NPI number for Clay Crockett is 1164120150. It was assigned to this individual provider in the NPPES registry on February 20, 2023.

Q: What is Clay Crockett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Clay Crockett was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 20, 2023PECOS EnrolledAccepts Medicare Assignment

1525 S HIGLEY RD STE 104, GILBERT, AZ 85296(480) 401-2110(507) 519-5792 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Mar 20, 2026, Jun 25, 2025 and 3 more (6 updates tracked since 2023).

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About Clay Justin Crockett Pmhnp-bc NPPES

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

CLAY JUSTIN CROCKETT PMHNP-BC (NPI 1164120150) is an individual psychiatric/mental health provider in Gilbert, Arizona, licensed in Arizona (294847) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1164120150

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameCLAY JUSTIN CROCKETTCredential: PMHNP-BC

Location Address1525 S HIGLEY RD STE 104Gilbert, AZ 85296-5045

Mailing Address1525 S Higley Rd Ste 104Gilbert, AZ 85296-5045 · (480) 401-2110 · Fax (507) 519-5792

Phone(480) 401-2110

Fax(507) 519-5792

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 20, 2023

Last NPPES UpdateMarch 23, 20266 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1164120150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 294847

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN197246 (AZ)

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP70013458 (WA), 10050854 (OR)

1525 S HIGLEY RD STE 104, Gilbert, AZ 85296

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Secondary Practice Locations 2

Location 11166 E Warner Rd Ste 101Gilbert, AZ 85296-3065 · Phone (480) 401-2110 · Fax (507) 519-5792

Location 2230 SE 2nd St Ste AHermiston, OR 97838-2486 · Phone (541) 289-7777 · Fax (541) 289-7778

Other Identifiers 1

Medicaid138626AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.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

Clay Justin Crockett Pmhnp-bc 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 ID8527420116

PECOS Enrollment IDI20230814003231

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 2

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

52 services15 patients

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.

52 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85296 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

A PEACEFUL MIND

Clinic/Center (Adult Mental Health)