MICAYLA CROCKETT (NP) – Family Nurse Practitioner, NPI 1144828088

MICAYLA CROCKETT (NP) is a healthcare provider. based in Mount clemens, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704329743 (MI). The NPI Number for MICAYLA CROCKETT (NP) is 1144828088

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MICAYLA CROCKETT (NP)
NPI
1144828088
Phone
(586) 493-8000
Address
1000 HARRINGTON ST
Enumeration Date
13 October 2020
Last Update Date
10 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5864938000
Graduation Year
2020 (6 years ago)
PAC ID
9537571898
Group Practice PAC ID
5395166482
Professional Enrollment ID
I20201210002913
Address ID
MI480432920MO1000XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MICAYLA CROCKETT (NP)

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8000

    Fax: (586) 493-8799

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-12-10

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
I20201210002913INurse PractitionerMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99239Hospital discharge day management, more than 30 minutes5858$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 48043)

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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: 5395166482View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm MICAYLA CROCKETT (NP)'s NPI?
Yes. MICAYLA CROCKETT (NP) is listed with NPI 1144828088 in the public NPI dataset.
Does the file indicate MICAYLA CROCKETT (NP) is practicing under active NPI?
Directory data currently reports MICAYLA CROCKETT (NP) as active.
What is MICAYLA CROCKETT (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for MICAYLA CROCKETT (NP) here. Clinical services aligned with this taxonomy classification.
Does MICAYLA CROCKETT (NP) list a practice location?
Patients near Mount Clemens, Michigan may find MICAYLA CROCKETT (NP) in results; validate coverage separately.
Why does MICAYLA CROCKETT (NP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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