Individual provider Active NPI

Lynn Ann Crocker, D.O.

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1558357947
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3966 Issued in AZ
Practice address
1111 E McDowell Rd
WT LL1 Case Management
Phoenix, AZ 85006-2612
Phone
(602) 839-2000
Fax
(602) 839-5918
NPI assigned
Sep 21, 2005
Last updated
Mar 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3966 AZ Primary

Addresses

Primary practice location

1111 E McDowell Rd
WT LL1 Case Management
Phoenix, AZ 85006-2612

Mailing address

PO Box 29834
Phoenix, AZ 85038-9834
Phone (602) 553-8400

Other identifiers 1

IdentifierTypeStateIssuer
862781-01MedicaidAZ

Other names 1

  • Lynn Ann Rice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140306000430 TX Practitioner - Internal Medicine 3577548791 Reassigns benefits to 8 organizations
I20241003000073 LA Practitioner - Internal Medicine 3577548791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Texas Physician Services, PLLCGroup PAC ID 5890145783, 57 clinicians
Northeast Louisiana Physicians LLCGroup PAC ID 2365885944, 44 clinicians
Jefferson Physician Services, PLLCGroup PAC ID 0547610677, 55 clinicians
Gulf Coast Physician Services, PLLCGroup PAC ID 7214388826, 104 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

1275 Marvin Hancock Dr
Jasper, TX 75951-4935
Phone (409) 384-5461

1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

5950 Saratoga Blvd
Corpus Christi, TX 78414-4100
Phone (361) 985-5000

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3966AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince May 6, 2021 Accepting new patients
Northeast Louisiana Physicians, LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince May 6, 2021 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
South Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Bexar Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Chambers Medical Services Internal Medicine CurrentSince Nov 16, 2021 Accepting new patients
Gulf Coast Physician Services, PLLC Internal Medicine CurrentSince Dec 24, 2023 Accepting new patients
Southwest Louisiana Physicians, LLC Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Feb 1, 2019 Accepting new patients
Verde Valley Medical Center Past Accepting new patients
Christus Health Southeast Texas Past Accepting new patients

Locations

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

20801 N Scottsdale Rd
Ste 205
Scottsdale, AZ 85255
Phone (480) 388-3265

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

200 Corporate Blvd
Lafayette, LA 70508

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1311 Gen Cvazos Blvd
Kingsville, TX 78363
Phone (361) 595-1661

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: lcrocker352945@christushealth.direct-ci.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1558357947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29834",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389834",
            "telephone_number": "602-553-8400",
            "fax_number": "602-553-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E MCDOWELL RD",
            "address_2": "WT LL1 CASE MANAGEMENT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062612",
            "telephone_number": "602-839-2000",
            "fax_number": "602-839-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "LYNN",
        "middle_name": "ANN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "862781-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "RICE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.