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MRS. LADY CROCKETT MSN, APRN-CNP, PMHNP
NPI 1548522436
Nurse Practitioner - Psychiatric/Mental Health in Springdale, OH

Active since June 15, 2012PECOS Enrolled
1329 E KEMPER RD STE 4220B, SPRINGDALE, OH 45246(513) 790-4367(513) 572-7142 Get Directions Write a Review

NPPES record last updated: October 12, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 12, 2025, Mar 6, 2025, May 5, 2022 and 3 more (6 updates tracked since 2021).

About Mrs. Lady Crockett Msn, Aprn-cnp, Pmhnp NPPES

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

MRS. LADY CROCKETT MSN, APRN-CNP, PMHNP (NPI 1548522436) is an individual psychiatric/mental health provider in Springdale, Ohio, licensed in Ohio (0029189) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548522436
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. LADY CROCKETTCredential: MSN, APRN-CNP, PMHNP
Location Address1329 E KEMPER RD STE 4220BSpringdale, OH 45246-5100
Mailing Address1329 E Kemper Rd Ste 4220bSpringdale, OH 45246-5100 · (513) 790-4367 · Fax (513) 572-7142
Phone(513) 790-4367
Fax(513) 572-7142
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 15, 2012
Last NPPES UpdateOctober 12, 20256 updates tracked since enumeration
NPPES CertifiedOctober 12, 2025
✔ NPI 1548522436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · 0029189
Also ListedRegistered NurseTaxonomy 163W00000X · License 979974 (NY), 384621 (OH)
1329 E KEMPER RD STE 4220B, Springdale, OH 45246
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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)

Mrs. Lady Crockett Msn, Aprn-cnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537566716
PECOS Enrollment IDI20251217004532
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

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
20 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45246 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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

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

ANTIONE SPRIGGS
Social Worker
1329 E KEMPER RD STE 4220B
SPRINGDALE, OH 45246
Hamilton County (513) 790-4367

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 Lady Crockett's NPI number?

The NPI number for Lady Crockett is 1548522436. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Lady Crockett located?

Lady Crockett practices at 1329 E Kemper Rd Ste 4220B, Springdale, OH 45246. The listed phone number is (513) 790-4367.

What is Lady Crockett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lady Crockett enrolled in Medicare?

Yes. Lady Crockett is registered in the Medicare PECOS enrollment system.

What insurance does Lady Crockett accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 3 other insurers list Lady 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 Lady Crockett was last updated on October 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.