Individual provider Active NPI

Brian Dale Mackey, CRNA

  • Certified Registered Nurse Anesthetist
  • Edmond, OK
National Provider Identifier
1134158652
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0085277 Issued in OK
Practice address
21899 Marbella Dr
Edmond, OK 73012-0925
Phone
(405) 501-4244
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R0085277 OK Primary
Certified Registered Nurse Anesthetist 367500000X RN094116 LA

Addresses

Primary practice location

21899 Marbella Dr
Edmond, OK 73012-0925

Mailing address

21899 Marbella Dr
Edmond, OK 73012-0925

Other practice location 1

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 402-2261

Other identifiers 1

IdentifierTypeStateIssuer
200095860AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060919000537 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022001874 Reassigns benefits to 3 organizations
I20250722001262 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8022001874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1801 W 3Rd St
Elk City, OK 73644-5145
Phone (580) 821-5529

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 236-7395

3080 College St
Beaumont, TX 77701-4606
Phone (409) 212-5002

8100 S Walker Ave
BLDG C
Oklahoma City, OK 73139-9404
Phone (405) 602-6500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN094116LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Orthomed Staffing LLC CurrentSince May 1, 2025 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Hpi Physicians LLC CurrentSince Mar 28, 2022 Accepting new patients
Lake Granbury Hospital-Based Professional Services Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Professional Anesthesia Consultants, LLP Past Accepting new patients
Sheridan Healthcare of Louisiana Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
DRS Burleigh, Dupleix and Rees Past Accepting new patients

Locations

1705 Renaissance Blvd
Ste 120
Edmond, OK 73013
Phone (405) 715-4496

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

14024 Quail Pointe Dr
Oklahoma City, OK 73134
Phone (405) 419-8447

5925 NW 139th St
Oklahoma City, OK 73142
Phone (405) 621-8800

11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

6949 Bryant Irvin Rd
Ste 110
Ft Worth, TX 76132
Phone (817) 332-1818

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1134158652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21899 MARBELLA DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21899 MARBELLA DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730120925",
            "telephone_number": "405-501-4244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017211",
            "country_code": "US",
            "telephone_number": "580-402-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "BRIAN",
        "middle_name": "DALE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0085277",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN094116",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200095860A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.