DONNA CROCKETT APRN
NPI 1174411219
Nurse Practitioner - Family in Lexington, KY
About Donna Crockett Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DONNA CROCKETT APRN (NPI 1174411219) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (4042815) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Mount Sterling, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Donna Crockett Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Donna Crockett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40509
- Reassigned Medicare billing, Kentucky enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Joseph Mount Sterling
Acute Care Hospitals · Mount Sterling, KYSaint Joseph East
Acute Care Hospitals · Lexington, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEXINGTON, KY 40509
LEXINGTON, KY 40509
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 Donna Crockett's NPI number?
The NPI number for Donna Crockett is 1174411219. It was assigned to this individual provider in the NPPES registry on June 26, 2025.
Where is Donna Crockett located?
Donna Crockett practices at 160 N Eagle Creek Dr Ste 302, Lexington, KY 40509. The listed phone number is (859) 967-5044.
What is Donna Crockett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Donna Crockett enrolled in Medicare?
Yes. Donna 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 organization bills Medicare for Donna Crockett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Donna Crockett reassigns Medicare benefits to Saint Joseph Health System, Inc. (Lexington, KY). The 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 Donna Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Donna Crockett accept?
Health plans from Anthem Blue Cross and Blue Shield list Donna 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.
Is Donna Crockett affiliated with any hospitals?
According to CMS data, Donna Crockett is affiliated with Saint Joseph Mount Sterling and Saint Joseph East.
When was this NPI record last updated?
The NPPES record for Donna Crockett was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Donna Crockett, APRN · NPI 1174411219
Family physician in Lexington, Kentucky. Individual provider, active in the CMS NPPES registry since June 26, 2025.
## Identity
- **NPI:** 1174411219 (Entity type: Individual)
- **Enumerated:** June 26, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4042815 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 N EAGLE CREEK DR STE 302, Lexington, KY 40509-2124
- **Phone:** (859) 967-5044 · **Fax:** (859) 967-5041
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saint Joseph Health System, Inc. (NPI 1225468275, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174411219) · Data from the CMS NPPES public registry.