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MELISSA DAWN CROCKER CPNP
NPI 1578861779
Nurse Practitioner - Pediatrics in Mansfield, TX

Active since March 11, 2011
701 MATLOCK RD, MANSFIELD, TX 76063(817) 453-5437(817) 453-2714 Get Directions Write a Review

NPPES record last updated: November 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melissa Dawn Crocker Cpnp NPPES

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

MELISSA DAWN CROCKER CPNP (NPI 1578861779) is an individual pediatrics provider in Mansfield, Texas, licensed in Texas (712934) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1578861779
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMELISSA DAWN CROCKERCredential: CPNP
Location Address701 MATLOCK RDMansfield, TX 76063-9164
Mailing AddressPo Box 99371Fort Worth, TX 76199-0371 · (682) 885-1855 · Fax (682) 885-7347
Phone(817) 453-5437
Fax(817) 453-2714
Sole ProprietorNo
Enumeration DateMarch 11, 2011
Last NPPES UpdateNovember 19, 2012
✔ NPI 1578861779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in TX · 712934
701 MATLOCK RD, Mansfield, TX 76063
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Other Identifiers 3

Medicaid219895401TX
Other219895402TX · Cshcn
Medicare PINTXB120640

Other Providers at the Same Location NPPES 8

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

CLIVE G DANIELS MD
Pediatrics
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437
MATTHEW RAYMOND LUSSIER MD
Pediatrics
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437
TAMMIE JOAN KRAMER RN FNP
Nurse Practitioner (Family)
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437
MELVIN T JOKI MD
Pediatrics
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437
LYNNETTE MARTIANA LEFFALL DO
Pediatrics
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437
ROSE C ADAMS CPNP
Nurse Practitioner (Pediatrics)
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437
DR. KRISTINA MARIE REED D.O.
Pediatrics
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437
JULIE MICHELLE MAYO PAC
Physician Assistant
701 MATLOCK RD
MANSFIELD, TX 76063
Tarrant County (817) 453-5437

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 Melissa Crocker's NPI number?

The NPI number for Melissa Crocker is 1578861779. It was assigned to this individual provider in the NPPES registry on March 11, 2011.

Where is Melissa Crocker located?

Melissa Crocker practices at 701 Matlock Rd, Mansfield, TX 76063. The listed phone number is (817) 453-5437.

What is Melissa Crocker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Melissa Crocker was last updated on November 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.