JESSICA LYNN CROCKETT MD
NPI 1780570994
Student in an Organized Health Care Education/Training Program in Santa Clara, CA
About Jessica Lynn Crockett Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA LYNN CROCKETT MD (NPI 1780570994) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica Lynn Crockett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SANTA CLARA, CA 95051
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 Jessica Crockett's NPI number?
The NPI number for Jessica Crockett is 1780570994. It was assigned to this individual provider in the NPPES registry on June 16, 2025.
Where is Jessica Crockett located?
Jessica Crockett practices at 700 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (408) 851-1000.
What is Jessica Crockett's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jessica Crockett enrolled in Medicare?
Yes. Jessica Crockett is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessica Crockett was last updated on June 16, 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.
# Jessica Lynn Crockett, MD · NPI 1780570994
Student in an Organized Health Care Education/Training Program provider in Santa Clara, California. Individual provider, active in the CMS NPPES registry since June 16, 2025.
## Identity
- **NPI:** 1780570994 (Entity type: Individual)
- **Enumerated:** June 16, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 700 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (408) 851-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 16, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1780570994) · Data from the CMS NPPES public registry.