DR. CAROLINE ELISE CROCKER D.O. - NPI 1205299856

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

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About Dr. Caroline Elise Crocker D.o. NPPES

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

DR. CAROLINE ELISE CROCKER D.O. (NPI 1205299856) is an individual neonatal-perinatal medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-15314) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1205299856

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. CAROLINE ELISE CROCKERCredential: D.O.

Location Address1 CHILDRENS WAY # 512-5Little Rock, AR 72202-3500

Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-4082

Phone(501) 364-1028

Fax(501) 364-4264

Sole ProprietorNo

Enumeration DateMarch 31, 2016

Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1205299856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in AR · E-15314✔ Licensed in TX · S1582

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1 CHILDRENS WAY # 512-5, Little Rock, AR 72202

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Secondary Practice Location 1

Location 16431 Fannin St, MSB 3.244Houston, TX 77030 · Phone (512) 656-8045

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caroline Elise Crocker D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 12

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

KATHERINE ANN WESTON APRN-CNP

Nurse Practitioner (Neonatal, Critical Care)