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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1230 SE 2nd St Ste AHermiston, OR 97838-2486 · Phone (541) 289-7777 · Fax (541) 289-7778
Location 21166 E Warner Rd Ste 101Gilbert, AZ 85296-3065 · Phone (480) 401-2110 · Fax (507) 519-5792

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, BridgeSpan Health Company, Cigna HealthCare of Arizona, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Clay Crockett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Outreach Access To Health
14 mi
Family Medicine
8705 E MCDOWELL RD
Scottsdale, AZ 85257
  • Reassigned Medicare billing, Arizona enrollment
  • 119 clinicians in this Medicare group
NPI 1942518550 (480) 882-4545
Dr. Gregory Carr MD LLC
23 mi
Psychiatry
5021 N 20TH ST
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 43 clinicians in this Medicare group
NPI 1386041861 (480) 719-6554
Better Place Now LLC
32 mi
Psychiatric/Mental Health
2550 W UNION HILLS DR STE 350-6859
Phoenix, AZ 85027
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1467273516 (480) 660-2160
Mental Health Specialty Group PA
1,869 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Arizona enrollment
  • 99 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (480) 640-4908
OPTIMUM CARE SOLUTIONS LLC
Nurse Practitioner (Psychiatric/Mental Health)
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (800) 922-7656
MERCICARE PLLC
General Practice
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (480) 875-9456
ALL IN REACH COUNSELING, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (424) 291-2635
MELISSA ANNE NELSON APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (480) 901-4227
THE EXQUISITE CARE COMPANY LLC
Home Health
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (414) 252-8891
FREEDOM HOME HEALTH, LLC
Home Health
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (480) 540-3317
NATIVE JOURNEY
Community Based Residential Treatment Facility, Mental Illness
1525 S HIGLEY RD STE 104
GILBERT, AZ 85296
Maricopa County (928) 693-4607

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 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.

Where is Clay Crockett located?

Clay Crockett practices at 1525 S Higley Rd Ste 104, Gilbert, AZ 85296. The listed phone number is (480) 401-2110.

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.

Is Clay Crockett enrolled in Medicare?

Yes. Clay Crockett 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.

Which organizations bill Medicare for Clay Crockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clay Crockett reassigns Medicare benefits to 4 organizations: Neighborhood Outreach Access To Health (Scottsdale, AZ), Dr. Gregory Carr MD LLC (Phoenix, AZ), Better Place Now LLC (Phoenix, AZ) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clay Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clay Crockett accept?

Health plans from Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and PacificSource Health Plans and 2 other insurers list Clay Crockett 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 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 7 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.