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CORTNEY CROCKER CPNP-PC
NPI 1649636853
Nurse Practitioner - Pediatrics in Mancelona, MI

Active since January 05, 2016
205 GROVE ST, MANCELONA, MI 49659(231) 587-9840(231) 587-9846 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2021, Jan 11, 2019 (2 updates tracked since 2019).

About Cortney Crocker Cpnp-pc NPPES

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

CORTNEY CROCKER CPNP-PC (NPI 1649636853) is an individual pediatrics provider in Mancelona, Michigan, licensed in Michigan (4704271709) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1649636853
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCORTNEY CROCKERCredential: CPNP-PC
Location Address205 GROVE STMancelona, MI 49659-8018
Mailing Address220 W Garfield AveCharlevoix, MI 49720-1631 · (231) 547-6523 · Fax (231) 547-6238
Phone(231) 587-9840
Fax(231) 587-9846
Sole ProprietorNo
Enumeration DateJanuary 5, 2016
Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration
NPPES CertifiedJuly 21, 2021
✔ NPI 1649636853 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
Licenses✔ Licensed in MI · 4704271709✔ Licensed in MO · 2015039036✔ Licensed in HI · 2529
205 GROVE ST, Mancelona, MI 49659
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Other Names 1

Former Name (1)Cortney Shumway

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 3

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

MS. KIMBERLY M LAFOREST RDH
Dental Hygienist
205 GROVE ST
MANCELONA, MI 49659
Antrim County (231) 587-5068
AMANDA MARIE DESJARDINS DDS
Dentist (General Practice)
205 GROVE ST
MANCELONA, MI 49659
Antrim County (231) 587-5068
KENEDY FOMENKO D.M.D
Dentist (General Practice)
205 GROVE ST
MANCELONA, MI 49659
Antrim County (866) 878-6553

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 Cortney Crocker's NPI number?

The NPI number for Cortney Crocker is 1649636853. It was assigned to this individual provider in the NPPES registry on January 5, 2016. The provider is also known as Cortney Shumway.

Where is Cortney Crocker located?

Cortney Crocker practices at 205 Grove St, Mancelona, MI 49659. The listed phone number is (231) 587-9840.

What is Cortney Crocker's specialty?

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

What insurance does Cortney Crocker accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Cortney 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.

When was this NPI record last updated?

The NPPES record for Cortney Crocker was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.