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MRS. TANYA EZELL CROCKETT APRN, CPNP-PC
NPI 1740564954
Nurse Practitioner - Pediatrics in Louisville, KY

Active since October 06, 2011PECOS EnrolledAccepts Medicare Assignment
231 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 629-4750(502) 629-4617 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2019, Nov 15, 2016 (2 updates tracked since 2016).

About Mrs. Tanya Ezell Crockett Aprn, Cpnp-pc NPPES

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

MRS. TANYA EZELL CROCKETT APRN, CPNP-PC (NPI 1740564954) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (3007181) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740564954
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. TANYA EZELL CROCKETTCredential: APRN, CPNP-PC
Location Address231 E CHESTNUT STLouisville, KY 40202-1821
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 629-4750
Fax(502) 629-4617
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 6, 2011
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1740564954 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 KY · 3007181
231 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1496 Southland DrLexington, KY 40503-1827 · Phone (859) 288-2425 · Fax (859) 721-3918

Other Identifiers 1

Medicaid7100197040KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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. Tanya Ezell Crockett Aprn, Cpnp-pc 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.

PECOS PAC ID1759660707
PECOS Enrollment IDI20260325000861
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 Reassignment

Medicare enrollment records show Tanya Crockett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 20

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

HERON BAUMGARTEN
Surgery
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
SHELBYE M SCHWEINHART
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0982
CYNTHIA ROMER FATA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 456-6211
OLIVIA F MITTEL MD
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
ELIZABETH LEHTO
Pediatrics (Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
MICHELE NICOLE BRESLER SNOW DO
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
JESSICA EARLINE LUVISI CRNA
Nurse Anesthetist, Certified Registered
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
TRACE ROBERTSON KIMLER
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000

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 Tanya Crockett's NPI number?

The NPI number for Tanya Crockett is 1740564954. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Tanya Crockett located?

Tanya Crockett practices at 231 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 629-4750.

What is Tanya Crockett's specialty?

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

Is Tanya Crockett enrolled in Medicare?

Yes. Tanya 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 organization bills Medicare for Tanya Crockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Crockett reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). The 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 Tanya Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanya Crockett accept?

Health plans from CareSource list Tanya 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 Tanya Crockett was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.