Healthcare Provider Details

I. General information

NPI: 1780545954
Provider Name (Legal Business Name): CROCKER PSYCHIATRY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3106 INGERSOLL AVE STE 116
DES MOINES IA
50312-3910
US

IV. Provider business mailing address

3106 INGERSOLL AVE STE 116
DES MOINES IA
50312-3910
US

V. Phone/Fax

Practice location:
  • Phone: 515-220-2036
  • Fax: 713-370-6607
Mailing address:
  • Phone: 515-220-2036
  • Fax: 713-370-6607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HANNAH BECKER CROCKER
Title or Position: PROVIDER
Credential: ARNP, PMHNP-BC
Phone: 515-229-2223