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STEFANIE GAYLE CROCKETT MSN, RN, FNP-BC
NPI 1558650515
Registered Nurse in Amarillo, TX

Active since March 30, 2011PECOS Enrolled
1301 S COULTER ST STE 300, AMARILLO, TX 79106(806) 355-6330(806) 351-0950 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Stefanie Gayle Crockett Msn, Rn, Fnp-bc NPPES

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

STEFANIE GAYLE CROCKETT MSN, RN, FNP-BC (NPI 1558650515) is an individual registered nurse in Amarillo, Texas, licensed in Texas (730571) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558650515
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameSTEFANIE GAYLE CROCKETTCredential: MSN, RN, FNP-BC
Location Address1301 S COULTER ST STE 300Amarillo, TX 79106-1766
Mailing Address1301 S Coulter St Ste 300Amarillo, TX 79106-1766 · (806) 355-6330 · Fax (806) 351-0950
Phone(806) 355-6330
Fax(806) 351-0950
Sole ProprietorNo
Enumeration DateMarch 30, 2011
Last NPPES UpdateApril 19, 2019
✔ NPI 1558650515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in TX · 730571
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP120155 (TX)
1301 S COULTER ST STE 300, Amarillo, TX 79106
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Other Identifiers 1

Other730571TX · Nurse Practitioner-family Nurse Practitioner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stefanie Gayle Crockett Msn, Rn, Fnp-bc 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.

Medicare Billing Reassignments

2

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

Vpa Of Texas PLLC
313 mi
Family Medicine
1301 W 7TH ST, STE 121
Fort Worth, TX 76102
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1205165875 (817) 348-0425
Signify Health Medical Associates, PLLC
331 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

BRITTNI ANN SMITH PA
Physician Assistant
1301 S COULTER ST STE 300
AMARILLO, TX 79106
Potter County (806) 355-6330
JENNIFER GRAHAM
Nurse Practitioner (Primary Care)
1301 S COULTER ST STE 300
AMARILLO, TX 79106
Potter County (806) 355-6330
DR. CHRISTINA MIN HUSEMAN MD
Obstetrics & Gynecology
1301 S COULTER ST STE 300
AMARILLO, TX 79106
Potter County (806) 355-6330
KATHRYN NICOLE COTINO M.D.
Obstetrics & Gynecology
1301 S COULTER ST STE 300
AMARILLO, TX 79106
Potter County (806) 355-6330
DR. JILL A. GULIZIA M.D.
Obstetrics & Gynecology
1301 S COULTER ST STE 300
AMARILLO, TX 79106
Potter County (806) 355-6330

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 Stefanie Crockett's NPI number?

The NPI number for Stefanie Crockett is 1558650515. It was assigned to this individual provider in the NPPES registry on March 30, 2011.

Where is Stefanie Crockett located?

Stefanie Crockett practices at 1301 S Coulter St Ste 300, Amarillo, TX 79106. The listed phone number is (806) 355-6330.

What is Stefanie Crockett's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Stefanie Crockett enrolled in Medicare?

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

Which organizations bill Medicare for Stefanie Crockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Crockett reassigns Medicare benefits to 2 organizations: Vpa Of Texas PLLC (Fort Worth, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Stefanie Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stefanie Crockett was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.