Individual provider Active NPI

Erika Crockett, FNP-BC

  • Family Nurse Practitioner
  • Johnson City, TN
National Provider Identifier
1295388379
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26403 Issued in TN
Practice address
140 Technology LN # Le
Johnson City, TN 37604-2004
Phone
(423) 434-2016
NPI assigned
Jul 18, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26403 TN Primary

Addresses

Primary practice location

140 Technology LN # Le
Johnson City, TN 37604-2004

Mailing address

1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-3091

Other names 1

  • Erika Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191209001968 VA Practitioner - Nurse Practitioner 3779916531 Reassigns benefits to 3 organizations
I20210414001072 TN Practitioner - Nurse Practitioner 3779916531 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians
NV Pacs 2 LLCGroup PAC ID 0941550578, 119 clinicians

Practice addresses (Care Compare)

140 Technology LN
Johnson City, TN 37604-2004
Phone (423) 434-2016

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26403TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Tennessee PC Nurse Practitioner CurrentSince Mar 12, 2024 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner Current Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Jun 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Wellmont Cardiology Services Nurse Practitioner CurrentSince Jun 1, 2020 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 12, 2024 Accepting new patients
Wellmont Medical Associates Inc Nurse Practitioner CurrentSince Apr 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Sep 28, 2019 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Sep 28, 2019 Accepting new patients
Wellmont Physician Services Inc Nurse Practitioner Past Accepting new patients

Locations

1643 NW 136th Ave
Bldg H
Sunrise, FL 33323
Phone 2568378585 ext. 01394

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

140 Technology Ln
Johnson City, TN 37604
Phone (423) 434-2016

2428 Knob Creek Rd
Ste 201
Johnson City, TN 37604
Phone (423) 262-4400

509 Med Tech Pkwy
Ste 100
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

2050 Meadowview Pkwy
Kingsport, TN 37660

16000 Johnston Memorial Dr
Ste 212A
Abingdon, VA 24211
Phone (276) 258-1000

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406

1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111

127 Health Care Dr
Ste 3
Pennington Gap, VA 24277
Phone (276) 299-5000

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1295388379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 NW 136TH AVE BLDG H",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333233091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TECHNOLOGY LN # LE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042004",
            "telephone_number": "423-434-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "ERIKA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "BENNETT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.