1. Home
  2. Directory
  3. Massachusetts
  4. Jamaica Plain
  5. Physician Assistant
  6. NPI Profile

MRS. KATHERINE MARIE CROCKER P.A.-C
NPI 1386078137
Physician Assistant - Medical in Jamaica Plain, MA

Active since August 29, 2013PECOS Enrolled
170 MORTON STREET, JAMAICA PLAIN, MA 02130(617) 971-3305(617) 971-3643 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2023, Dec 8, 2015, Nov 20, 2015 (3 updates tracked since 2015).

About Mrs. Katherine Marie Crocker P.a.-c NPPES

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

MRS. KATHERINE MARIE CROCKER P.A.-C (NPI 1386078137) is an individual medical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (PA4959) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386078137
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. KATHERINE MARIE CROCKERCredential: P.A.-C
Location Address170 MORTON STREETJamaica Plain, MA 02130
Mailing Address170 Morton StreetJamaica Plain, MA 02130 · (617) 971-3305 · Fax (617) 971-3643
Phone(617) 971-3305
Fax(617) 971-3643
Sole ProprietorNo
Enumeration DateAugust 29, 2013
Last NPPES UpdateOctober 2, 20233 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1386078137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MA · PA4959
Also ListedPhysician AssistantTaxonomy 363A00000X
170 MORTON STREET, Jamaica Plain, MA 02130
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Katherine Marie Crocker P.a.-c 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 13

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

GARO DAMLA M.D.
Obstetrics & Gynecology
170 MORTON STREET, LEMUEL SHATTUCK HOSPITAL
JAMAICA PLAIN, MA 02130
Suffolk County (617) 522-8110
MS. ALISON OLIFF
Counselor (Mental Health)
170 MORTON STREET, MICHAEL J. GILL MENTAL HEALTH CLINIC
BOSTON, MA 02130
Suffolk County (617) 830-5038
THE COMMONWEALTH OF MASSACHUSETTS
Long Term Care Hospital
170 MORTON STREET
JAMAICA PLAIN, MA 02130
Suffolk County (617) 522-8110
THE COMMONWEALTH OF MASSACHUSETTS
Long Term Care Hospital
170 MORTON STREET
JAMAICA PLAIN, MA 02130
Suffolk County (617) 522-8110
MRS. SANDRA E SMITH-DICKENS MED
Counselor (Addiction (Substance Use Disorder))
170 MORTON STREET, JAMAICA PLAIN
BOSTON, MA 02130
Suffolk County (617) 391-9333
DR. JAMES ROBERT QUIRK M.D.
Internal Medicine (Infectious Disease)
170 MORTON STREET
BOSTON, MA 02130
Suffolk County (617) 971-3406
FRANCESCA FORDIANI LICSW
Social Worker (Clinical)
170 MORTON STREET, MICHAEL J. GILL HEALTH AND WELLNESS CENTER
JAMAICA PLAIN, MA 02130
Suffolk County (617) 830-5037
MS. KATHERINE ELLEN KEEFE PA-C
Physician Assistant (Medical)
170 MORTON STREET, LEMUEL SHATTUCK HOSPITAL
JAMAICA PLAIN, MA 02130
Suffolk County (617) 522-8110

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 Katherine Crocker's NPI number?

The NPI number for Katherine Crocker is 1386078137. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Katherine Crocker located?

Katherine Crocker practices at 170 Morton Street, Jamaica Plain, MA 02130. The listed phone number is (617) 971-3305.

What is Katherine Crocker's specialty?

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

Is Katherine Crocker enrolled in Medicare?

Yes. Katherine Crocker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Crocker was last updated on October 2, 2023. 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.