Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Clay Justin Crockett, PMHNP-BC

Individual provider Nurse Practitioner · NPI 1164120150

Clay Justin Crockett, PMHNP-BC is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2023, 3 years ago. Practices with Dr Gregory Carr MD LLC, an 11-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona, Oregon and Washington.

Years since qualifying
3
Licensed in
AZ, OR, WA
In the registry since
2023
Specialties on file
4
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Phone: (480) 401-2110
Fax: (507) 519-5792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1166 E Warner Rd Ste 101, Gilbert, AZ 85296-3065 — (480) 401-2110
  • 230 Se 2nd St Ste A, Hermiston, OR 97838-2486 — (541) 289-7777

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 294847 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP70013458 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence 10050854 (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN197246 (AZ)

Record details

NPI number1164120150
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 20, 2023
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Dr Gregory Carr Md Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 106 a service is one billed item, such as a visit, a test or a procedure
Average patient age64

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Consulting Fee $1,760 1 payment
Food and Beverage $1,241 22 payments · a meal or drink at a meeting or visit, not a fee
Travel and Lodging $104 1 payment · travel or lodging paid or reimbursed, such as to attend a conference

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Dr Gregory Carr MD LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 11 clinicians in the practice; 9 are shown here.

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