DR. MICHELE MARIE CROCKETT (MD) – Diagnostic Radiology Physician, NPI 1134139983

DR. MICHELE MARIE CROCKETT (MD) is a healthcare provider. based in Texarkana, Texas. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. MD.200782 (LA). The NPI Number for DR. MICHELE MARIE CROCKETT (MD) is 1134139983

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELE MARIE CROCKETT (MD)
NPI
1134139983
Phone
(903) 614-3000
Address
5002 COWHORN CREEK RD
Enumeration Date
8 August 2006
Last Update Date
9 June 2008

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9036143000
Graduation Year
2000 (26 years ago)
PAC ID
6800827452
Group Practice PAC ID
1355249541
Professional Enrollment ID
I20080728000527
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHELE MARIE CROCKETT (MD)

  • 5002, Cowhorn Creek Road, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755039766

    Phone: (903) 614-3000

    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 $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-06-16 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($46).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-16

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 75503)

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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: 1355249541View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. MICHELE MARIE CROCKETT (MD)'s NPI?
You can confirm DR. MICHELE MARIE CROCKETT (MD) with NPI 1134139983; it appears in the national provider directory.
Is DR. MICHELE MARIE CROCKETT (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MICHELE MARIE CROCKETT (MD)?
The page reflects Diagnostic Radiology Physician for DR. MICHELE MARIE CROCKETT (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHELE MARIE CROCKETT (MD)?
We surface Texarkana, Texas for DR. MICHELE MARIE CROCKETT (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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