Active NPI
Robert Cullen Crooks, PA-C
- Medical Physician Assistant
- Shiprock, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA2013-0076
- Practice address
- US Hwy 491 North
Shiprock, NM 87401 - Phone
- (505) 368-6001
- Fax
- (505) 368-7011
- NPI assigned
- Jan 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA2013-0076 | NM | Primary |
Addresses
Primary practice location
US Hwy 491 North
Shiprock, NM 87401
Mailing address
PO Box 160
Shiprock, NM 87420-0160
Phone (505) 368-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
34 Navajo Rte
Sanostee Health Station
Sanostee, NM 87461
Phone (505) 732-2484
Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401
P O Box
160 Attn Business Office
Shiprock, NM 87420-0160
PO Box
Suite 160
Shiprock, NM 87420-0160
Hospital & facility affiliations
- Northern Navajo Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.26 of 100
- Quality
- 74.27
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2013-0076 | NM | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sanostee, NM
- NPI 1083839476
-
- General Acute Care Hospital
- Bloomfield, NM
- NPI 1760427587
-
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
-
- General Acute Care Hospital
- Toadlena, NM
- NPI 1952526337
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1134540420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "874200160",
"telephone_number": "505-368-6001",
"fax_number": "505-368-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US HWY 491 NORTH",
"city": "SHIPROCK",
"state": "NM",
"postal_code": "87401",
"telephone_number": "505-368-6001",
"fax_number": "505-368-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROOKS",
"first_name": "ROBERT",
"middle_name": "CULLEN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NM",
"license": "PA2013-0076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shiprock, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.