SHELLI R CROCKETT (NP) – Family Nurse Practitioner, NPI 1366548430
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for SHELLI R CROCKETT (NP)
172, Linden Drive, Winchester, Winchester City, Virginia, 22601, United States
STE 100
WINCHESTER, VA 226012892
Phone: (276) 679-8890
Fax: (276) 679-9740
Type: Mailing
172 LINDEN DR STE 100
WINCHESTER, VA 226012892
Phone: (540) 722-8172
Type: Location
15th Street Northwest, Norton, Norton City, Virginia, 24273, United States
104
NORTON, VA 242731620
Phone: (276) 679-8890
Fax: (276) 679-9740
Type: Location
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 $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-03-06 • Largest payer in this snapshot: PFIZER INC. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $20 |
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: 2024-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040722001017 | I | Nurse Practitioner | VA | TBD |
| I20240430001396 | I | Nurse Practitioner | FL | 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 | 731 | 287 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 380 | 216 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 181 | 181 | $0 |
| G0008 | Administration of influenza virus vaccine | 78 | 78 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 62 | $0 |
Insurance plans in this area (ZIP 22601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| - | VA | |
| Internal Medicine, Pulmonary Disease | MD | |
| - | VA | |
| - | MD | |
| - | VA | |
| - | VA | |
| - | MD | |
| Physician Assistant | VA | |
| Physician Assistant | MI |
Reviews
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