Olivia Marie Crocker

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9116937 Issued in FL

Practice address

501 S Orange St
New Smyrna Beach, FL 32168-7318

Phone

(386) 265-1913

NPI assigned

Feb 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Florida State University College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parks Dermatology Center LLCGroup PAC ID 7315985686, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bravery Home Healthcare Home health agency, St Augustine, FL, CCN 687344
• Adventhealth New Smyrna Beach Hospital, New Smyrna Beach, FL, CCN 100014

Merit-based Incentive Payment System (MIPS)

Final score

90.62 of 100Reported as group

Quality

100

Promoting interoperability

95

Improvement activities

40

Cost

72.89

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: oliviapdc@parksdermatology.emadirect.md

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.

• Parks Dermatology Center LLC

  • Dermatology Physician
  • Ormond Beach, FL
  • NPI 1629063680
  Medicare reassignment Care Compare group
• Brevard Physician Associates, PLLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1598008955

  Physician Assistant

  NPD (past)

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

• Bravery NE FL LLC

  dba Bravery Home Healthcare

  • Home Health Agency
  • St Augustine, FL
  • NPI 1619742657
  Care Compare affiliation
• Southeast Volusia Healthcare Corporation

  dba AdventHealth New Smyrna Beach

  • General Acute Care Hospital
  • New Smyrna Beach, FL
  • NPI 1871977942
  Care Compare affiliation

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1740987668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 SILAS DR",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321682491",
            "telephone_number": "321-848-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S ORANGE ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687318",
            "telephone_number": "386-265-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "OLIVIA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malikah Cox, LPN
• Anja M Crain, DMD
• Daniel H Crandall, MS
• Sharon Louise Crane
• Brittney Alexandra Crawford, PT, DPT
• Sandra Scott Crosby
• Crown Assisted Living LLC
• Austin Culver
• Philip Blaine Dahlquist, DMD
• Elisa Irene Davidow-Carter, LMHC

• Physician Assistant in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.