Active NPI
Jason Wesley Crockett, MSN, FNP-C
- Medical Oncology Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 5009668
- Practice address
- 20 Duke Medicine Circle Duke Cancer Center Clinic 5-1
Durham, NC 27710 - Phone
- (919) 668-8108
- NPI assigned
- Dec 23, 2016
- Last updated
- Sep 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5009668 | NC | |
| Registered Nurse | 163W00000X | 250967 | NC | |
| Medical Oncology Physician | 207RX0202X | 5009668 | NC | Primary |
Addresses
Primary practice location
20 Duke Medicine Circle Duke Cancer Center Clinic 5-1
Durham, NC 27710
Mailing address
905 Lasalle Street Gsrb1 - 3017 Dumc 103861
Durham, NC 27710-4070
Phone (919) 668-8108
Other practice location 1
1490 Williamsboro St
Oxford, NC 27565
Phone (919) 729-5704
Other practice location 2
20 Duke Medicine Circle Duke Cancer Center Clinic 5-1
Durham, NC 27710
Phone (919) 668-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 Duke Medicine Cir
Durham, NC 27710-2000
Phone (919) 684-8111
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250967 | NC | MD | Registered Nurse |
| 5009668 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients |
Locations
1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355
20 Duke Medicine Cir
Durham, NC 27710
Phone (919) 668-6608
2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
101 Professional Park
Ste A
Oxford, NC 27565
Phone (919) 286-8418
1490 Williamsboro St
Oxford, NC 27565
Phone (919) 693-3972
Interoperability endpoints
- jcrockett67310@direct.medicine.duke.edu
Organizations & group practices 4
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
dba Sutton Station Internal Medicine
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
-
dba Oxford Family Physicians
- Family Medicine Physician
- Oxford, NC
- NPI 1124057484
-
dba Duke Urgent Care
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
dba Duke Raleigh Hospital, a campus of Duke University Hospital
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1306828108
Hospital
-
dba Duke University Hospital
- Clinical Medical Laboratory
- Durham, NC
- NPI 1508847047
Hospital
-
dba Durham Regional Hospital
- Clinical Medical Laboratory
- Durham, NC
- NPI 1689656480
Hospital
-
dba Duke University Hospital
- Land Ambulance
- Durham, NC
- NPI 1417954942
Hospital
-
dba Duke University Hospital
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
dba Durham Regional Hospital
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
-
dba Duke University Hospital
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1922543131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 LASALLE STREET GSRB1 - 3017 DUMC 103861",
"city": "DURHAM",
"state": "NC",
"postal_code": "277104070",
"telephone_number": "919-668-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 DUKE MEDICINE CIRCLE DUKE CANCER CENTER CLINIC 5-1",
"city": "DURHAM",
"state": "NC",
"postal_code": "27710",
"telephone_number": "919-668-8108"
}
],
"practiceLocations": [
{
"address_1": "1490 Williamsboro St",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "NC",
"postal_code": "27565",
"country_code": "US",
"telephone_number": "919-729-5704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Duke Medicine Circle Duke Cancer Center Clinic 5-1",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "27710",
"country_code": "US",
"telephone_number": "919-668-8108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROCKETT",
"first_name": "JASON",
"middle_name": "WESLEY",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-23",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009668",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "250967",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "5009668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.