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MIKAYLA CROCKER CNP
NPI 1942952817
Nurse Practitioner - Acute Care in Rapid City, SD

Active since January 21, 2022PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 755-1000 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mikayla Crocker Cnp NPPES

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

MIKAYLA CROCKER CNP (NPI 1942952817) is an individual acute care provider in Rapid City, South Dakota, licensed in South Dakota (CP002273) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Monument Health Spearfish Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1942952817
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMIKAYLA CROCKERCredential: CNP
Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375
Mailing Address353 Fairmont BlvdRapid City, SD 57701-7375 · (605) 755-1000
Phone(605) 755-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
✔ NPI 1942952817 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 SD · CP002273
353 FAIRMONT BLVD, Rapid City, SD 57701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Mikayla Crocker Cnp 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 ID3173919941
PECOS Enrollment IDI20220404000630
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

2

Medicare enrollment records show Mikayla Crocker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Monument Health Rapid City Hospital, Inc.
Same address
Multi-Specialty
353 FAIRMONT BLVD
Rapid City, SD 57701
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1184310609 (605) 755-5700
University Medical Service Association Inc
1,593 mi
General Practice
12901 BRUCE B DOWNS BLVD, MDC 62
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1538360425 (813) 821-8038

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 2

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

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

MONUMENT HEALTH RAPID CITY HOSPITAL, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 719-1000
CLIFF JANIKOWSKI
Internal Medicine (Pulmonary Disease)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
MARIA SARGENT CNP
Nurse Practitioner
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
ABIGAIL RENN RD LN
Dietitian, Registered
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-4755
EMMA KOETTER
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (513) 575-6547
ALYSSA BRYANT
Pharmacist
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 690-3996
JARRETT JAMES FOWLER PA
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000
DR. KYLE W GIFFORD MD
Internal Medicine
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Meade County (605) 755-1000

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 Mikayla Crocker's NPI number?

The NPI number for Mikayla Crocker is 1942952817. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Mikayla Crocker located?

Mikayla Crocker practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (605) 755-1000.

What is Mikayla Crocker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mikayla Crocker enrolled in Medicare?

Yes. Mikayla 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 organizations bill Medicare for Mikayla Crocker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikayla Crocker reassigns Medicare benefits to 2 organizations: Monument Health Rapid City Hospital, Inc. (Rapid City, SD) and University Medical Service Association Inc (Tampa, FL). 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 Mikayla Crocker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mikayla Crocker accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Avera Health Plans and Oscar Health Maintenance Organization of Florida and 3 other insurers list Mikayla 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 Mikayla Crocker affiliated with any hospitals?

According to CMS data, Mikayla Crocker is affiliated with Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Mikayla Crocker was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.