Crockett Medical Center, LLC
NPI 1487155990 · Family Medicine Physician · Crockett, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Crockett Medical Center, LLC is a Family Medicine Physician organization in Crockett, TX (NPI 1487155990).
Provider details
- NPI number
- 1487155990
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Tjelmeland, Ceo(512) 617-7500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Crockett Medical Center Clinic
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2018-08-28
Frequently asked questions
- What is Crockett Medical Center, LLC's NPI number?
- Crockett Medical Center, LLC's National Provider Identifier (NPI) is 1487155990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crockett Medical Center, LLC?
- Crockett Medical Center, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Crockett Medical Center, LLC located?
- Crockett Medical Center, LLC's practice location on file with NPPES is 1050 E Loop 304, Crockett, TX 75835.
- What is Crockett Medical Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Crockett Medical Center, LLC is (936) 546-3890.
- Does Crockett Medical Center, LLC accept Medicare?
- Crockett Medical Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Crockett Medical Center, LLC?
- The authorized official listed on Crockett Medical Center, LLC's NPPES record is Kelly Tjelmeland, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crockett Medical Center, LLC's NPI active?
- Yes — Crockett Medical Center, LLC's NPI (1487155990) is active in the NPPES registry as of the last update on 2018-08-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.