ROBERT DAVID CROCKETT FNP
NPI 1801883475
Nurse Practitioner - Family in Fayetteville, AR

Q: What is Robert Crockett's NPI number?

The NPI number for Robert Crockett is 1801883475. It was assigned to this individual provider in the NPPES registry on September 29, 2005.

Q: What is Robert 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 Robert Crockett was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 29, 2005PECOS Enrolled

1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(615) 355-3451 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Robert David Crockett Fnp NPPES

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

ROBERT DAVID CROCKETT FNP (NPI 1801883475) is an individual family provider in Fayetteville, Arkansas, licensed in Missouri (2000160927) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1801883475

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameROBERT DAVID CROCKETTCredential: FNP

Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944

Mailing Address2828 N National AveSpringfield, MO 65803-4306 · (417) 837-4000 · Fax (417) 875-4714

Phone(615) 355-3451

Sole ProprietorNo

Enumeration DateSeptember 29, 2005

Last NPPES UpdateSeptember 3, 2019

✔ NPI 1801883475 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 MO · 2000160927

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 2000160927 (MO)

1100 N COLLEGE AVE, Fayetteville, AR 72703

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Secondary Practice Location 1

Location 12828 N National AveSpringfield, MO 65803-4306 · Phone (417) 837-4000 · Fax (417) 875-4714

Other Identifiers 2

Medicaid427473004MO

OtherP00269324Rr Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert David Crockett Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.

MICHELE L GRIFFIN NP-C

Nurse Practitioner (Family)