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

Randall B Crockett, PA

Individual provider Physician Assistant · NPI 1295897957

Randall B Crockett, PA is a Physician Assistant in Snowflake, Arizona. Qualified in 1998, 28 years ago. Practices with Summit Healthcare Medical Associates, a 73-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
28
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1121 S Main St
Snowflake, AZ 85937-5645
Phone: (928) 536-5858
Fax: (928) 536-2196
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7107 (AZ)

Record details

NPI number1295897957
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2006
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Summit Healthcare Medical Associates — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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