CAROLINE CAITLYN CROCKER PA-C
NPI 1174394688
Physician Assistant - Medical in Cordova, TN

Q: What is Caroline Crocker's NPI number?

The NPI number for Caroline Crocker is 1174394688. It was assigned to this individual provider in the NPPES registry on January 12, 2024.

Q: What is Caroline Crocker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Caroline Crocker was last updated on January 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 12, 2024PECOS EnrolledAccepts Medicare Assignment

57 GERMANTOWN CT STE 100, CORDOVA, TN 38018(901) 763-0200 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Caroline Caitlyn Crocker Pa-c NPPES

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

CAROLINE CAITLYN CROCKER PA-C (NPI 1174394688) is an individual medical provider in Cordova, Tennessee, licensed in Tennessee (5863) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174394688

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCAROLINE CAITLYN CROCKERCredential: PA-C

Location Address57 GERMANTOWN CT STE 100Cordova, TN 38018-4274

Mailing Address1211 Union Ave Ste 330Memphis, TN 38104-6655

Phone(901) 763-0200

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 12, 2024

Last NPPES UpdateJanuary 31, 2024

NPPES CertifiedJanuary 31, 2024

✔ NPI 1174394688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 5863

57 GERMANTOWN CT STE 100, Cordova, TN 38018

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, BlueCross BlueShield of Tennessee.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

Caroline Caitlyn Crocker Pa-c 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 ID1153764824

PECOS Enrollment IDI20250910001446

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 4

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.

201 services171 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

54 services54 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

54 services53 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.

30 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340141

Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County

Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 13

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

CHANDLER ROBERTS CUMMINS DNP

Nurse Practitioner