DJENABRA M CROSKEY (MD) – Obstetrics & Gynecology Physician, NPI 1417946716

DJENABRA M CROSKEY (MD) is a healthcare provider. based in Glen allen, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 91316 (FL). The NPI Number for DJENABRA M CROSKEY (MD) is 1417946716

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DJENABRA M CROSKEY (MD)
NPI
1417946716
Phone
(813) 774-0711
Address
14535 BUD LN
Enumeration Date
19 October 2005
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8646035203
Graduation Year
1999 (27 years ago)
PAC ID
3274571435
Group Practice PAC ID
9436323342
Professional Enrollment ID
I20160211001317
Address ID
VA231143267MI13710BLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,175 OBSTETRICS/GYNECOLOGY in VA

Provider Addresses for DJENABRA M CROSKEY (MD)

  • 14535 BUD LN

    GLEN ALLEN, VA 230591568

    Phone: (813) 774-0711

    Type: Mailing

  • 777 LOWNDES HILL RD

    GREENVILLE, SC 296072101

    Phone: (864) 908-3530

    Fax: (864) 627-9920

    Type: Location

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: 2016-02-11

PECOS data refreshed: 2026-06-15

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
I20160211001317IObstetrics/GynecologyVATBD

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 23059)

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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: 9436323342View full group profile
NameSpecialtyState
Hospitalist, Obstetrics/GynecologyVA
O B S T E T R I C S/ G Y N E C O L O G YLA
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YSC
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YVA
Certified Nurse Midwife (Cnm)VA
Certified Nurse Midwife (Cnm)TX

Reviews

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Frequently asked questions

How do I look up DJENABRA M CROSKEY (MD) by NPI?
Use NPI 1417946716 when you need to reference DJENABRA M CROSKEY (MD) in forms, claims, or directories.
Is DJENABRA M CROSKEY (MD) currently active in the NPI registry?
CMS-published data lists DJENABRA M CROSKEY (MD) as an active registrant.
Can you summarize DJENABRA M CROSKEY (MD)'s specialty in plain language?
Clinically, the directory lists DJENABRA M CROSKEY (MD) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where is DJENABRA M CROSKEY (MD)'s primary listing?
We display Glen Allen, Virginia because that is what the record indicates for DJENABRA M CROSKEY (MD).
Is DJENABRA M CROSKEY (MD) a real provider?
This page reflects official NPPES data for NPI 1417946716. Always confirm identity and privileges with the practice and licensing boards.

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