JESSICA CROCKER – Family Nurse Practitioner, NPI 1164942694
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for JESSICA CROCKER
1525 E 23rd St S
Independence, MO 640551670
Phone: (816) 404-9800
Type: Location
7900 Lees Summit Rd
Kansas City, MO 641391236
Phone: (816) 404-7650
Type: Location
4545 S Noland Rd
Independence, MO 640554887
Phone: (816) 404-9810
Type: Location
606 S Hardy Ave
Independence, MO 640531827
Phone: (816) 404-5770
Type: Location
9406 E 63rd St
Raytown, MO 641334904
Phone: (816) 356-1000
Type: Location
1439 S Minter Way
Grain Valley, MO 640299648
Phone: (816) 404-6785
Type: Location
210, Northeast Tudor Road, AMLI Summit Ridge, Lee's Summit, Jackson County, Missouri, 64086, United States
LEES SUMMIT, MO 640865696
Phone:
Type: Mailing
4200 REGENT ST STE 200
COLUMBUS, OH 432196229
Phone: (877) 870-1775
Fax: (614) 968-8840
Type: Location
7900 LEES SUMMIT RD
KANSAS CITY, MO 641391236
Phone:
Type: Mailing
1525 E 23RD ST S
INDEPENDENCE, MO 640551670
Phone: (816) 404-9800
Type: Location
16401 POPLAR AVE
KANSAS CITY, MO 641361287
Phone: (816) 519-0326
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2023-02-24 • Largest payer in this snapshot: Organon LLC ($83).
Total Amount
$83
General + Research + Ownership
Payments
1
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $83 |
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: 2017-08-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170807002706 | I | Nurse Practitioner | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17 | 15 | $0 |
Insurance plans in this area (ZIP 64055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NM | |
| Nurse Practitioner | MO | |
| - | IL | |
| - | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| A N E S T H E S I O L O G Y | MO | |
| Nurse Practitioner | MO |
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