Donna Crockett, APRN
Individual provider Active NPI Family Nurse Practitioner · Lexington, KY
NPI 1174411219 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1174411219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4042815 (KY)
- Practice address
- 160 N Eagle Creek Dr Ste 302
Lexington, KY 40509-2124 - Phone
- (859) 967-5044
- Fax
- (859) 967-5041
- NPI assigned
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Joseph Health System Inc
Practice addresses (Care Compare)
160 N Eagle Creek Dr
Suite 302
Lexington, KY 40509-2124
Phone (859) 967-5044
Hospital & facility affiliations
- Saint Joseph East
- Saint Joseph Mount Sterling
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- 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 |
|---|---|---|---|---|
| I20250731003057 | KY | Practitioner - Nurse Practitioner | 9537677646 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4042815 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Health System, Inc. | Current | Accepting new patients | |
| Saint Joseph Health System, Inc. | Current |
Accepting new patients | |
| Saint Joseph Health System, Inc. | Current |
Accepting new patients | |
| Saint Joseph Health Inc | Past | Accepting new patients | |
| Saint Joseph Health System, Inc. | Past | Accepting new patients |
Locations
701 Bob O Link Dr
Ste 100
Lexington, KY 40504
Phone (859) 224-3194
701 Bob O Link Dr
Ste 120
Lexington, KY 40504
Phone (859) 277-3137
160 N Eagle Creek Dr
Ste 302
Lexington, KY 40509
Phone (859) 867-5044
227 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5537
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4042815 | KY | Yes |
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 4042815 | KY |
Addresses
Primary practice location
160 N Eagle Creek Dr Ste 302
Lexington, KY 40509-2124
Mailing address
PO Box 936
London, KY 40743-0936
Phone (606) 330-7835
Other providers in Lexington, KY
- Sarah Elizabeth Critchfield
- Georgiana O. Crittenden
- Cody Crnkovic
- Daniel Jacob Croake
- Robert Keith Crocket
- Jerod Crockett
- Lauren Crockett
- Debra S Croley
- Jessica Jones Croley
- Lori Croley
All providers in Lexington, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 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.