Active NPI
Lynn Ann Crocker, D.O.
- Internal Medicine Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3966
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 862781-01 | Medicaid | AZ |
Other names 1
- Lynn Ann Rice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3966 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Northeast Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Central Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Jefferson Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| South Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Bexar Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Chambers Medical Services | Internal Medicine | Current | Accepting new patients |
| Gulf Coast Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Southwest Louisiana Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1922889187
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1598546764
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1407637671
-
- Internal Medicine Physician
- New Braunfels, TX
- NPI 1598546772
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1730960998
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1417738675
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Lake Charles, LA
- NPI 1972384139
-
- Internal Medicine Physician
- Scottsdale, AZ
- NPI 1881359420
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Southeast Texas - Jasper Memorial
- Rural Acute Care Hospital
- Jasper, TX
- NPI 1598749707
-
dba CHRISTUS Spohn Hospital Alice
- General Acute Care Hospital
- Alice, TX
- NPI 1003885641
-
dba CHRISTUS Spohn Hospital Beeville
- General Acute Care Hospital
- Beeville, TX
- NPI 1447228747
-
dba CHRISTUS Spohn Hospital Corpus Christi
- General Acute Care Hospital
- Corpus Christi, TX
- NPI 1689641680
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.