Kenneth Crockett, PA-C
NPI 1053338830 · Medical Physician Assistant · Petoskey, MI
Kenneth Crockett, PA-C is a Medical Physician Assistant provider in Petoskey, MI (NPI 1053338830).
Provider details
- NPI number
- 1053338830
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601001028 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
19 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$38 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2008-04-18
Frequently asked questions
- What is Kenneth Crockett's NPI number?
- Kenneth Crockett's National Provider Identifier (NPI) is 1053338830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Crockett's specialty?
- Kenneth Crockett is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Crockett located?
- Kenneth Crockett's practice location on file with NPPES is 1890 S US Highway 131, Petoskey, MI 49770-8344.
- What is Kenneth Crockett's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Crockett is (231) 487-2000.
- Is Kenneth Crockett's NPI active?
- Yes — Kenneth Crockett's NPI (1053338830) is active in the NPPES registry as of the last update on 2008-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.