Individual provider Active NPI

Patrick W Crook, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1306106240
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024170083 Issued in VA
Practice address
243 Dover Rd
Clarksville, TN 37042-4155
Phone
(931) 905-4646
NPI assigned
May 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 28300 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25203 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024170083 VA Primary

Addresses

Primary practice location

243 Dover Rd
Clarksville, TN 37042-4155

Mailing address

304 Bentwood LN
Columbia, SC 29229-8980
Phone (757) 870-2047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190515001489 TN Practitioner - Nurse Practitioner 9931442977 Reassigns benefits to 2 organizations
I20250428003129 SC Practitioner - Nurse Practitioner 9931442977 Reassigns benefits to 2 organizations
I20250923002062 DC Practitioner - Nurse Practitioner 9931442977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Mar 21, 2025 Accepting new patients
Psychiatry Services of Clarksville PLC CurrentSince Aug 20, 2019 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 20, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

170 Meeting St
Charleston, SC 29401
Phone (843) 983-8320

243 Dover Rd
Clarksville, TN 37042
Phone (315) 523-4256

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1306106240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BENTWOOD LN",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292298980",
            "telephone_number": "757-870-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424155",
            "telephone_number": "931-905-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "PATRICK",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-25",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "28300",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25203",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024170083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.