MRS. JENNIFER NICOLE CROCKETT NP
NPI 1649075441
Nurse Practitioner - Acute Care in Midlothian, VA
About Mrs. Jennifer Nicole Crockett Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER NICOLE CROCKETT NP (NPI 1649075441) is an individual acute care provider in Midlothian, Virginia, licensed in Virginia (0024192617) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Jennifer Nicole Crockett Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jennifer Crockett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mechanicsville, VA 23116
- Reassigned Medicare billing, Virginia enrollment
- Medicare enrollment name: Integrative Regional Medical Center, PC
- 7 clinicians in this Medicare group
Alexandria, VA 22306
- Reassigned Medicare billing, Virginia enrollment
- 52 clinicians in this Medicare group
Alexandria, VA 22306
- Reassigned Medicare billing, Virginia enrollment
- 18 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.
St Joseph Hospital
Acute Care Hospitals · Bangor, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jennifer Crockett's NPI number?
The NPI number for Jennifer Crockett is 1649075441. It was assigned to this individual provider in the NPPES registry on February 17, 2025.
Where is Jennifer Crockett located?
Jennifer Crockett practices at 14300 Justice Rd, Midlothian, VA 23113. The listed phone number is (804) 665-0864.
What is Jennifer Crockett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jennifer Crockett enrolled in Medicare?
Yes. Jennifer Crockett 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 Jennifer Crockett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Crockett reassigns Medicare benefits to 3 organizations: Integrative Regional Medical Center, P.C. (Mechanicsville, VA), Clark Alliance Services Inc (Alexandria, VA) and Clark Palliative Medicine Group (Alexandria, VA). 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 Jennifer Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jennifer Crockett affiliated with any hospitals?
According to CMS data, Jennifer Crockett is affiliated with St Joseph Hospital.
When was this NPI record last updated?
The NPPES record for Jennifer Crockett was last updated on November 11, 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.
# Mrs. Jennifer Nicole Crockett, NP · NPI 1649075441
Acute Care physician in Midlothian, Virginia. Individual provider, active in the CMS NPPES registry since February 17, 2025.
## Identity
- **NPI:** 1649075441 (Entity type: Individual)
- **Enumerated:** February 17, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 0024192617 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 14300 JUSTICE RD, Midlothian, VA 23113-6840
- **Phone:** (804) 665-0864
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Integrative Regional Medical Center, P.C. (NPI 1386187540, Mechanicsville, VA); Clark Alliance Services Inc (NPI 1952892028, Alexandria, VA); Clark Palliative Medicine Group (NPI 1417680612, Alexandria, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649075441) · Data from the CMS NPPES public registry.