NIKOLAS CROCKER – Acute Care Nurse Practitioner, NPI 1326720475

NIKOLAS CROCKER is a healthcare provider. based in Fort lauderdale, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11027933 (FL). The NPI Number for NIKOLAS CROCKER is 1326720475

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
NIKOLAS CROCKER
NPI
1326720475
Phone
(786) 356-5035
Address
11401 SW 49TH PL
Enumeration Date
7 August 2023
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2023 (3 years ago)
PAC ID
8022457852
Group Practice PAC ID
6305849449
Professional Enrollment ID
I20240412002664
Address ID
FL331762118MI8900XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for NIKOLAS CROCKER

  • 11401 SW 49TH PL

    FORT LAUDERDALE, FL 333302806

    Phone: (786) 356-5035

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($66).

Total Amount

$66

General + Research + Ownership

Payments

2

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240412002664INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33330)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305849449View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineLA
Emergency MedicineFL
Emergency MedicineFL
Nurse PractitionerFL
Emergency MedicineNY
Emergency MedicineNY
Emergency MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is NIKOLAS CROCKER identified in CMS data?
CMS-hosted NPPES data lists NIKOLAS CROCKER with NPI 1326720475.
Does the file indicate NIKOLAS CROCKER is practicing under active NPI?
Directory data currently reports NIKOLAS CROCKER as active.
What is NIKOLAS CROCKER best known for clinically?
Directory data describes NIKOLAS CROCKER with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for NIKOLAS CROCKER?
NIKOLAS CROCKER's geographic hint is Fort Lauderdale, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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