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

Kellee J Crockett, PA-C

Individual provider Physician Assistant · NPI 1952441305

Kellee J Crockett, PA-C is a Physician Assistant in Eagle, Idaho. Qualified in 2006, 20 years ago. Practices with Bridgeway Health Services LLC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1032 S Bridgway Pl Ste 100
Eagle, ID 83616
Phone: (208) 246-0123
Fax: (208) 246-0125
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC636 (ID)

Record details

NPI number1952441305
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Bridgeway Health Services Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Eagle