PUNYACHA CHUANCHOM CROCKER NP
NPI 1801294020
Nurse Practitioner - Acute Care in Ann Arbor, MI

Active since December 22, 2014PECOS EnrolledAccepts Medicare Assignment
1500 EAST MEDICAL CENTER DRIVE, B1 FLOOR TAUBMAN CENTER RECP MOS ROOM 126, ANN ARBOR, MI 48109(734) 232-2867 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1801294020
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NamePUNYACHA CHUANCHOM CROCKERCredential: NP
Location Address1500 EAST MEDICAL CENTER DRIVE, B1 FLOOR TAUBMAN CENTER RECP MOS ROOM 126Ann Arbor, MI 48109-5317
Mailing Address3621 South State Street, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 22, 2014
Last NPPES UpdateNovember 28, 2016
NPI 1801294020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704278307
1500 EAST MEDICAL CENTER DRIVE, Ann Arbor, MI 48109

Other Names 1

Former Name (1)Punyacha Chuanchom

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID1951627298
PECOS Enrollment IDI20150305000064
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.

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, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician 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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Physician Assistant
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Nurse Practitioner (Acute Care)
1500 EAST MEDICAL CENTER DRIVE, 2ND FLOOR TAUBMAN CENTER RECP G
ANN ARBOR, MI 48109
Occupational Therapist
1500 EAST MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Nurse Practitioner
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR TAUBMAN CTR RECP D
ANN ARBOR, MI 48109
Dermatology
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR TAUBMAN CENTER RECP B
ANN ARBOR, MI 48109
Psychiatry & Neurology (Neurology)
1500 EAST MEDICAL CENTER DRIVE, 1ST FLOOR UNIVERSITY HOSPITAL ROOM 1B300
ANN ARBOR, MI 48109
Obstetrics & Gynecology
1500 EAST MEDICAL CENTER DRIVE, L4100 WOMENS
ANN ARBOR, MI 48109
Nurse Practitioner
1500 EAST MEDICAL CENTER DRIVE, 11TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
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.

What insurance does Punyacha Crocker accept?

Health plans from McLaren Health Plan Community 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.