Shelli R Crockett, NP | |
870 W Hickpochee Ave Ste 100, Labelle, FL 33935-4315 | |
(239) 303-1501 | |
(888) 803-9101 |
Full Name | Shelli R Crockett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 24 Years |
Location | 870 W Hickpochee Ave Ste 100, Labelle, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366548430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024164715 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Winchester Medical Center Hha | Winchester, VA | Home health agency |
Valley Health Home Health/west Virginia | Romney, WV | Home health agency |
Winchester Medical Center | Winchester, VA | Hospital |
Shenandoah Memorial Hospital | Woodstock, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Llc | 4385682061 | 1223 |
Entity Name | Urology Associates Of Winchester Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275571705 PECOS PAC ID: 2264415074 Enrollment ID: O20040611000916 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Shelli R Crockett, NP 172 Linden Dr, Ste 100, Winchester, VA 22601-2892 Ph: (276) 679-8890 | Shelli R Crockett, NP 870 W Hickpochee Ave Ste 100, Labelle, FL 33935-4315 Ph: (239) 303-1501 |
Julie Soud, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 450 S Main St, Suite 1, Labelle, FL 33935 Phone: 863-675-2356 Fax: 863-674-0347 | |
Mrs. Jennifer B. Hood, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1140 Pratt Blvd, Labelle, FL 33935 Phone: 863-674-4056 | |
Mr. John A Pullaro Ii, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 450 S Main St, Labelle, FL 33935 Phone: 863-675-2356 | |
Katisleidy Rodriguez Barrios, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3103 Ivy Ct, Labelle, FL 33935 Phone: 786-262-3597 | |
Simone Douze-jeanbaptiste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Fourwind Rd, Labelle, FL 33935 Phone: 305-335-4226 | |
Janet Dominguez-giron, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 930 S Main St, Labelle, FL 33935 Phone: 863-674-5520 Fax: 863-674-5521 |