PUNYACHA CHUANCHOM CROCKER NP
NPI 1801294020
Nurse Practitioner - Acute Care in Ann Arbor, MI
About Punyacha Chuanchom Crocker Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PUNYACHA CHUANCHOM CROCKER NP (NPI 1801294020) is an individual acute care provider in Ann Arbor, Michigan, licensed in Michigan (4704278307) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted 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
Punyacha Chuanchom Crocker 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 Reassignment
Medicare enrollment records show Punyacha Crocker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ann Arbor, MI 48109
- Reassigned Medicare billing, Michigan enrollment
- 507 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.
University Of Michigan Health System
Acute Care Hospitals · Ann Arbor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
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 Punyacha Crocker's NPI number?
The NPI number for Punyacha Crocker is 1801294020. It was assigned to this individual provider in the NPPES registry on December 22, 2014. The provider is also known as Punyacha Chuanchom.
Where is Punyacha Crocker located?
Punyacha Crocker practices at 1500 East Medical Center Drive B1 Floor Taubman Center Recp Mos Room 126, Ann Arbor, MI 48109. The listed phone number is (734) 232-2867.
What is Punyacha Crocker's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Punyacha Crocker enrolled in Medicare?
Yes. Punyacha Crocker 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 Punyacha Crocker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Punyacha Crocker reassigns Medicare benefits to Regents Of The University Of Michigan (Ann Arbor, MI). 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 Punyacha Crocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Punyacha Crocker accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Punyacha 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.
Is Punyacha Crocker affiliated with any hospitals?
According to CMS data, Punyacha Crocker is affiliated with University Of Michigan Health System.
When was this NPI record last updated?
The NPPES record for Punyacha Crocker was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Punyacha Chuanchom Crocker, NP · NPI 1801294020
Acute Care physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since December 22, 2014.
## Identity
- **NPI:** 1801294020 (Entity type: Individual)
- **Enumerated:** December 22, 2014
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 4704278307 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 EAST MEDICAL CENTER DRIVE, B1 FLOOR TAUBMAN CENTER RECP MOS ROOM 126, Ann Arbor, MI 48109-5317
- **Phone:** (734) 232-2867
## 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:** Regents Of The University Of Michigan (NPI 1447275102, Ann Arbor, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 28, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1801294020) · Data from the CMS NPPES public registry.