SHAKISHA CROCKETT MSN,FNP-C
NPI 1740834993
Nurse Practitioner - Family in Lubbock, TX

Q: What is Shakisha Crockett's NPI number?

The NPI number for Shakisha Crockett is 1740834993. It was assigned to this individual provider in the NPPES registry on July 26, 2019.

Q: What is Shakisha Crockett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shakisha Crockett was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 26, 2019PECOS Enrolled

4102 22ND PL, LUBBOCK, TX 79410(806) 725-0237(806) 725-1030 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2025, Oct 24, 2023, Jul 25, 2022 and 5 more (8 updates tracked since 2019).

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About Shakisha Crockett Msn,fnp-c NPPES

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

SHAKISHA CROCKETT MSN,FNP-C (NPI 1740834993) is an individual family provider in Lubbock, Texas, licensed in Texas (AP141546) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740834993

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAKISHA CROCKETTCredential: MSN,FNP-C

Location Address4102 22ND PLLubbock, TX 79410-1122

Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5228 · Fax (806) 723-6532

Phone(806) 725-0237

Fax(806) 725-1030

Sole ProprietorNo

Enumeration DateJuly 26, 2019

Last NPPES UpdateAugust 13, 20258 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1740834993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP141546

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License AP141546 (TX)

4102 22ND PL, Lubbock, TX 79410

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shakisha Crockett Msn,fnp-c 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

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

Covenant Medical Group

0.2 mi

Family Medicine

2215 NASHVILLE AVE
Lubbock, TX 79410

Reassigned Medicare billing, Texas enrollment
309 clinicians in this Medicare group

NPI 1376598904 (806) 725-4800

Texas Tech University Health Sciences Center Lubbock

1.2 mi

Podiatrist

3601 4TH ST
Lubbock, TX 79430

Reassigned Medicare billing, Texas enrollment
685 clinicians in this Medicare group

NPI 1538239769 (806) 743-2475

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 79410 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 16

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

MONJA L PROCTOR MD

Surgery (Pediatric Surgery)