Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacy Killian Crocker, RN

Individual provider Registered Nurse · NPI 1528444080

Jacy Killian Crocker, RN is a Certified Registered Nurse Anesthetist (CRNA) in High Point, North Carolina. Qualified in 2015, 11 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

401 Ferndale Blvd
High Point, NC 27262-4739
Phone: (336) 882-2567
Fax: (336) 882-2567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 N Elm St, High Point, NC 27262-4331 — (336) 878-6000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 108810 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 230341 (NC)

Record details

NPI number1528444080
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedAugust 7, 2015
Last updated in NPPESJune 27, 2025
Certification dateJune 27, 2025
Mailing address100 Kimel Forest Dr, Winston Salem, NC 27103-6074

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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