Individual provider Active NPI

Willie Bert McCorvey Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Las Cruces, NM
National Provider Identifier
1104330687
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
78782 Issued in NM
Practice address
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone
(525) 522-8641
NPI assigned
Nov 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 78782 NM Primary

Addresses

Primary practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Mailing address

5850 N Mesa St Ste A182
El Paso, TX 79912-4681
Phone (228) 238-0260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180601001601 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820357338 Reassigns benefits to 1 organization
I20190131002414 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820357338 Reassigns benefits to 5 organizations
I20250106002966 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820357338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians
Hospitalist Medicine Physicians of Texas - Dallas PLLCGroup PAC ID 3678966819, 20 clinicians
El Paso Ams PLLCGroup PAC ID 9931520970, 87 clinicians

Practice addresses (Care Compare)

117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000

1700 E Saunders St
Laredo Medical Center
Laredo, TX 78041-5474
Phone (956) 796-5000

2000 Transmountain Rd
El Paso, TX 79911-3601
Phone (915) 577-8467

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (915) 478-0594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2018 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Sep 1, 2025 Accepting new patients
Resource Anesthesiology Associates of NM Inc CurrentSince Nov 11, 2024 Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
El Paso County Hospital District Current Accepting new patients
Hospitalist Medicine Physicians of Texas - Dallas PLLC CurrentSince Nov 1, 2022 Accepting new patients
Laredo Digestive Health Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2021 Accepting new patients
El Paso County Hospital District CurrentSince Aug 17, 2025 Accepting new patients

Locations

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

6999 McPherson Rd
Ste 219
Laredo, TX 78041
Phone (956) 728-0030

7210 McPherson Rd
Laredo, TX 78041
Phone (956) 712-0500

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2190

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757808000000",
    "number": "1104330687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 N MESA ST STE A182",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124681",
            "telephone_number": "228-238-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "525-522-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORVEY",
        "first_name": "WILLIE",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "78782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.