CALEB CROCKER
NPI 1902329550
Physician Assistant - Surgical in Nashville, TN

Q: What is Caleb Crocker's NPI number?

The NPI number for Caleb Crocker is 1902329550. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Q: What is Caleb Crocker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Crocker was last updated on September 13, 2022. 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.

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment

3443 DICKERSON PIKE STE 190, NASHVILLE, TN 37207(615) 860-1580 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 13, 2022, May 21, 2019, Dec 27, 2018 and 1 more (4 updates tracked since 2017).

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About Caleb Crocker NPPES

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

CALEB CROCKER (NPI 1902329550) is an individual surgical provider in Nashville, Tennessee, licensed in Tennessee (4901) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Tristar Skyline Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902329550

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameCALEB CROCKER

Location Address3443 DICKERSON PIKE STE 190Nashville, TN 37207-2533

Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008

Phone(615) 860-1580

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 25, 2017

Last NPPES UpdateSeptember 13, 20224 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2022

✔ NPI 1902329550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TN · 4901

3443 DICKERSON PIKE STE 190, Nashville, TN 37207

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Other Identifiers 1

MedicaidQ076869TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Caleb Crocker 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 ID2860763281

PECOS Enrollment IDI20220715000425

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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

39 services39 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL NURI KIRIDLY M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)