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NICOLE CROOKS
NPI 1861862245
Nurse Practitioner in Irving, TX

Active since September 29, 2015PECOS EnrolledAccepts Medicare Assignment
59.68/100
CMS Quality Rating
4250 CLUB HOUSE CIR, APARTMENT 2229, IRVING, TX 75038(419) 944-4031 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 25, 2023, Sep 29, 2015 (2 updates tracked since 2015).

About Nicole Crooks NPPES

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

NICOLE CROOKS (NPI 1861862245) is an individual nurse practitioner in Irving, Texas, licensed in Texas (AP129124) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Irving, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1861862245
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE CROOKS
Location Address4250 CLUB HOUSE CIR, APARTMENT 2229Irving, TX 75038-9093
Mailing Address4250 Club House Cir, Apartment 2229Irving, TX 75038-9093
Phone(419) 944-4031
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 29, 2015
Last NPPES UpdateAugust 25, 20232 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1861862245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TX · AP129124
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP129124 (TX)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP129124 (TX)
4250 CLUB HOUSE CIR, Irving, TX 75038
Open in Google Maps ↗

Secondary Practice Location 1

Location 14545 Fuller Dr Ste 325Irving, TX 75038-6530 · Phone (972) 870-5511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Nicole Crooks 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 ID7315247020
PECOS Enrollment IDI20190220001342
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

9

Medicare enrollment records show Nicole Crooks reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa Of Texas PLLC
2.1 mi
Family Medicine
4545 FULLER DR STE 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
NPI 1326667536 (972) 870-5511
Legacy Heart Care Of North Dallas, LLC
13 mi
Cardiovascular Disease
7515 GREENVILLE AVE STE 1010
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 37 clinicians in this Medicare group
NPI 1265150205 (469) 283-3300
Legacy Heart Care Of Grand Prairie, LLC
15 mi
Cardiovascular Disease
4927 LAKE RIDGE PKWY STE 145
Grand Prairie, TX 75052
  • Reassigned Medicare billing, Texas enrollment
  • 41 clinicians in this Medicare group
NPI 1174252837 (469) 340-4400
Legacy Heartcare Of Dallas, LLC
15 mi
Cardiovascular Disease
4716 DEXTER DR STE 200
Plano, TX 75093
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1144520503 (972) 490-9500
Legacy Heart Care Of Fort Worth, LLC
23 mi
Cardiovascular Disease
2500 WEST FWY STE 200
Fort Worth, TX 76102
  • Reassigned Medicare billing, Texas enrollment
  • 61 clinicians in this Medicare group
NPI 1730120908 (817) 423-4400
Legacy Heart Care Of Midtown Austin, LLC
168 mi
Cardiovascular Disease
7200 WYOMING SPRINGS DR STE 300
Round Rock, TX 78681
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1356869804 (512) 661-2000
Legacy Heart Care Of South Austin, LLC
203 mi
Cardiovascular Disease
1180 SETON PKWY STE 280
Kyle, TX 78640
  • Reassigned Medicare billing, Texas enrollment
  • 42 clinicians in this Medicare group
NPI 1346768892 (512) 297-2100
Mana Health Partners Tx PLLC
242 mi
Internal Medicine
7633 BELLFORT ST
Houston, TX 77061
  • Reassigned Medicare billing, Texas enrollment
  • 58 clinicians in this Medicare group
NPI 1639970734 (713) 644-2102
Legacy Heart Care Of San Antonio
242 mi
Cardiovascular Disease
12702 TOEPPERWEIN RD STE 123
Live Oak, TX 78233
  • Reassigned Medicare billing, Texas enrollment
  • 66 clinicians in this Medicare group
NPI 1316617426 (210) 934-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
337 services157 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
307 services151 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
93 services56 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
85 services82 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
47 services47 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
45 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75038 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

59.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality59.37
Promoting Interoperability0
Improvement Activities40

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 Nicole Crooks's NPI number?

The NPI number for Nicole Crooks is 1861862245. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Nicole Crooks located?

Nicole Crooks practices at 4250 Club House Cir Apartment 2229, Irving, TX 75038. The listed phone number is (419) 944-4031.

What is Nicole Crooks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Crooks enrolled in Medicare?

Yes. Nicole Crooks 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 organizations bill Medicare for Nicole Crooks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Crooks reassigns Medicare benefits to 9 organizations: Vpa Of Texas PLLC (Irving, TX), Legacy Heart Care Of North Dallas, LLC (Dallas, TX), Legacy Heart Care Of Grand Prairie, LLC (Grand Prairie, TX), Legacy Heartcare Of Dallas, LLC (Plano, TX), Legacy Heart Care Of Fort Worth, LLC (Fort Worth, TX) and 4 more organizations, listed in the Medicare section above. Each 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 Nicole Crooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Crooks accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Nicole Crooks 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.

When was this NPI record last updated?

The NPPES record for Nicole Crooks was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.