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

Olivia Marie Crocker

Individual provider Physician Assistant · NPI 1740987668

Olivia Marie Crocker is a Physician Assistant in New Smyrna Beach, Florida. Graduated from Florida State University College of Medicine in 2022, 4 years ago. Practices with Parks Dermatology Center LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
Florida State University College of Medicine
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

501 S Orange St
New Smyrna Beach, FL 32168-7318
Phone: (386) 265-1913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116937 (FL)

Record details

NPI number1740987668
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 10, 2023
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolFLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Parks Dermatology Center Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Smyrna Beach