Individual provider Active NPI

Carrie A McCrackin, CRNA

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
National Provider Identifier
1174548630
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-063681 Issued in AL
Practice address
101 Sivley Rd SW
Anesthesia Dept
Huntsville, AL 35801-4421
Phone
(256) 265-8120
Fax
(256) 265-8969
NPI assigned
Jul 13, 2006
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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 1-063681 AL Primary

Addresses

Primary practice location

101 Sivley Rd SW
Anesthesia Dept
Huntsville, AL 35801-4421

Mailing address

PO Box 1389
Huntsville, AL 35807-0389
Phone (205) 979-5882

Other identifiers 2

IdentifierTypeStateIssuer
51533367OtherALBCBSAL #
051533367MedicaidAL

Other names 1

  • Carrie A Brothers Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060404000843 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557379369 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Hospital AnesthesiaGroup PAC ID 7315990751, 157 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-8120

245 Governors Dr SE
Huntsville, AL 35801-3784
Phone (256) 265-8120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Anesthesiology Consultants PC Nurse Anesthetist, Certified Registered CurrentSince Jan 30, 2018 Accepting new patients
Heca, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2020 Accepting new patients
Marshall Medical Center South Nurse Anesthetist, Certified Registered CurrentSince May 20, 2023 Accepting new patients
Robert W Nesbitt MD PC CurrentSince Mar 1, 2023 Accepting new patients
Huntsville Hospital Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jan 12, 2006 Accepting new patients
Southern Medical Group, Inc Past Accepting new patients

Locations

800 Saint Vincents Dr
Ste 710
Birmingham, AL 35205
Phone (205) 558-3636

2505 US Highway 431
Boaz, AL 35957
Phone (256) 539-8310

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

119 Longwood Dr SW
Huntsville, AL 35801
Phone (256) 533-6488

201 Governors Dr SW
Huntsville, AL 35801
Phone (256) 265-6851

245 Governors Dr SE
Huntsville, AL 35801
Phone (256) 265-7673

721 Madison St SE
Huntsville, AL 35801
Phone (256) 533-4888

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15689/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1174548630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1389",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358070389",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "address_2": "ANESTHESIA DEPT",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421",
            "telephone_number": "256-265-8120",
            "fax_number": "256-265-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKIN",
        "first_name": "CARRIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-063681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL #",
            "identifier": "51533367",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051533367",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BROTHERS",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.