Tanisha Crockett, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Millsboro, DE
NPI 1093342420 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1093342420
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- LG-0001373 (DE)
- Practice address
- 29787 John J Williams Hwy Unit 8
Millsboro, DE 19966-4097 - Phone
- (800) 818-8680
- Fax
- (866) 229-0237
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nutrihealth LLC
Alpha Care Medical LLC
Practice addresses (Care Compare)
118 Sandhill Dr
Suite 201
Middletown, DE 19709-5859
Phone (302) 856-3737
20930 Dupont Blvd
Unit 202
Georgetown, DE 19947-1724
Phone (302) 856-3737
29787 John J Williams Hwy
Unit 8
Millsboro, DE 19966-4097
Phone (800) 818-8680
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200407002552 | DE | Practitioner - Nurse Practitioner | 8729417068 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Care Medical, LLC | Current |
Accepting new patients | |
| Nutrihealth LLC | Current |
Accepting new patients | |
| Beebe Physician Network Inc. | Family | Past | Accepting new patients |
Locations
642 S Queen St
Ste 102
Dover, DE 19904
Phone (800) 818-8680
20930 DuPont Blvd
Unit 101
Georgetown, DE 19947
Phone (302) 360-0142
1000 Midway Dr
Ste 3
Harrington, DE 19952
Phone (800) 818-8680
29787 John J Williams Hwy
Unit 8
Millsboro, DE 19966
Phone (800) 818-8680
1340 Middleford Rd
Ste 401
Seaford, DE 19973
Phone (302) 628-7752
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0001373 | DE | Yes |
Addresses
Primary practice location
29787 John J Williams Hwy Unit 8
Millsboro, DE 19966-4097
Mailing address
29787 John J Williams Hwy Unit 8
Millsboro, DE 19966-4097
Phone (800) 818-8680
Other practice location 1
642 S Queen St Ste 102
Dover, DE 19904-3506
Phone (800) 818-8680
Other practice location 2
1340 Middleford Rd Ste 401
Seaford, DE 19973-3665
Phone (800) 818-8680
Other providers in Millsboro, DE
- Marisa Conti
- Christy Marie Cooke
- Coras Wellness and Behavioral Health, LLC
- Core Counseling Strategies
- Deborah Cornelison
- CTM Medical Associates LLC
- CTS Surgical Associates LLC
- Jenna Dafgek
- Georges A Dahr
- Fadi E Damouni
All providers in Millsboro, DE · Family Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.