JACY KILLIAN CROCKER RN
NPI 1528444080
Nurse Anesthetist, Certified Registered in High Point, NC

Active since August 07, 2015Accepts Medicare Assignment
401 FERNDALE BLVD, HIGH POINT, NC 27262(336) 882-2567(336) 882-2567 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacy Killian Crocker Rn NPPES

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

JACY KILLIAN CROCKER RN (NPI 1528444080) is an individual nurse anesthetist, certified registered in High Point, North Carolina, licensed in North Carolina (108810) and active in the NPI registry since August 2015. She is affiliated with High Point Regional Health System, maintains a secondary practice location in High Point, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528444080
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJACY KILLIAN CROCKERCredential: RN
Location Address401 FERNDALE BLVDHigh Point, NC 27262-4739
Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074 · (336) 713-0947
Fax(336) 882-2567
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 7, 2015
Last NPPES UpdateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1528444080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 108810
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 230341 (NC)
401 FERNDALE BLVD, High Point, NC 27262

Secondary Practice Location 1

Location 1601 N Elm StHigh Point, NC 27262-4331 · Phone (336) 878-6000 · Fax (336) 878-6010

Other Identifiers 1

Other230341NC · Rn

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

Jacy Killian Crocker Rn 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 ID1759681976
PECOS Enrollment IDI20151119001853

Medicare Billing Reassignments

2

Medicare enrollment records show Jacy Crocker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
401 FERNDALE BLVD
High Point, NC 27262
  • Reassigned Medicare billing, North Carolina enrollment
  • 90 clinicians in this Medicare group
Multi-Specialty
1303 GREENSBORO STREET EXT
Lexington, NC 27295
  • Reassigned Medicare billing, North Carolina enrollment
  • 3,003 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

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

High Point Regional Health System

Acute Care Hospitals · High Point, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340004
Location601 N Elm StHigh Point, NC 27261 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27262 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 20

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

Physician Assistant
401 FERNDALE BLVD
HIGH POINT, NC 27262
Nurse Anesthetist, Certified Registered
401 FERNDALE BLVD
HIGH POINT, NC 27262
Nurse Anesthetist, Certified Registered
401 FERNDALE BLVD
HIGH POINT, NC 27262
Anesthesiology
401 FERNDALE BLVD
HIGH POINT, NC 27262
Nurse Anesthetist, Certified Registered
401 FERNDALE BLVD
HIGH POINT, NC 27262
Nurse Anesthetist, Certified Registered
401 FERNDALE BLVD
HIGH POINT, NC 27262
Nurse Anesthetist, Certified Registered
401 FERNDALE BLVD
HIGH POINT, NC 27262
Anesthesiology
401 FERNDALE BLVD
HIGH POINT, NC 27262

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 Jacy Crocker's NPI number?

The NPI number for Jacy Crocker is 1528444080. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Jacy Crocker located?

Jacy Crocker practices at 401 Ferndale Blvd, High Point, NC 27262. The listed phone number is (336) 882-2567.

What is Jacy Crocker's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jacy Crocker enrolled in Medicare?

Yes. Jacy Crocker 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 organizations bill Medicare for Jacy Crocker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacy Crocker reassigns Medicare benefits to 2 organizations: Carolina Anesthesiology, PA (High Point, NC) and Wake Forest University Health Sciences (Lexington, NC). Each 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 Jacy Crocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacy Crocker accept?

Health plans from Oscar Health Plan of North Carolina, Inc list Jacy Crocker 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 Jacy Crocker affiliated with any hospitals?

According to CMS data, Jacy Crocker is affiliated with High Point Regional Health System.

When was this NPI record last updated?

The NPPES record for Jacy Crocker was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.