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RANDALL B CROCKETT PA
NPI 1295897957
Physician Assistant in Snowflake, AZ

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
1121 S MAIN ST, SNOWFLAKE, AZ 85937(928) 536-5858(928) 536-2196 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2024, Jun 22, 2020 (2 updates tracked since 2020).

About Randall B Crockett Pa NPPES

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

RANDALL B CROCKETT PA (NPI 1295897957) is an individual physician assistant in Snowflake, Arizona, licensed in Arizona (7107) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1295897957
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRANDALL B CROCKETTCredential: PA
Location Address1121 S MAIN STSnowflake, AZ 85937-5645
Mailing Address1121 S Main StSnowflake, AZ 85937-5645 · (928) 536-5858 · Fax (928) 536-2196
Phone(928) 536-5858
Fax(928) 536-2196
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 15, 2006
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1295897957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 7107
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1121 S MAIN ST, Snowflake, AZ 85937
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Other Identifiers 1

Medicaid433696AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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

Randall B Crockett Pa 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 ID7517060601
PECOS Enrollment IDI20180827001713
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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
77 services61 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.
24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85937 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
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$111.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

SUMMIT HEALTHCARE MEDICAL ASSOCIATES
Clinic/Center (Rural Health)
1121 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-5858
DAVID CHRISTOPHER MURPHY D.O.
Family Medicine
1121 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-5858
CHAD BURDAL BRIMHALL M.D.
Family Medicine
1121 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-5858
MRS. MAGGIE B PRICE PA-C
Physician Assistant
1121 S MAIN ST
SNOWFLAKE, AZ 85937
Navajo County (928) 536-5858

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 Randall Crockett's NPI number?

The NPI number for Randall Crockett is 1295897957. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Randall Crockett located?

Randall Crockett practices at 1121 S Main St, Snowflake, AZ 85937. The listed phone number is (928) 536-5858.

What is Randall Crockett's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Randall Crockett enrolled in Medicare?

Yes. Randall 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.

What insurance does Randall Crockett accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Randall 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 Randall Crockett was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.