Individual provider Active NPI

Lindsay T Crocker, FNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1730488669
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000015678 Issued in TN
Practice address
31 Physicians Dr
Jackson, TN 38305-2071
Phone
(731) 256-0526
Fax
(731) 256-1720
NPI assigned
Mar 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 APN0000015678 TN Primary

Addresses

Primary practice location

31 Physicians Dr
Jackson, TN 38305-2071

Mailing address

PO Box 457
Lexington, TN 38351-0457
Phone (731) 968-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110506000064 TN Practitioner - Nurse Practitioner 3173708104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milan Medical Center, P.C.Group PAC ID 4385737311, 6 clinicians

Practice addresses (Care Compare)

6041 Telecom Dr
Milan, TN 38358-3448
Phone (731) 686-1505

Hospital & facility affiliations

  • Volunteer Home Care Home health agency, Humboldt, TN, CCN 447557
  • Medical Center Home Health LLC Home health agency, Jackson, TN, CCN 447101
  • Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
  • West Tennessee Healthcare Milan Hospital Hospital, Milan, TN, CCN 440060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15678TNMDSocial Worker
APN0000015678TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milan Medical Center, P.C. CurrentSince Aug 1, 2023 Accepting new patients

Locations

6041 Telecom Dr
Milan, TN 38358
Phone (731) 686-1505

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1730488669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383510457",
            "telephone_number": "731-968-4477",
            "fax_number": "731-967-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PHYSICIANS DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052071",
            "telephone_number": "731-256-0526",
            "fax_number": "731-256-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "LINDSAY",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000015678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.