Individual provider Active NPI

Mark E. Bucher, CRNA

  • Certified Registered Nurse Anesthetist
  • Ada, OK
National Provider Identifier
1295871283
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0069871 Issued in OK
Practice address
2001 Cradduck Rd
Ada, OK 74820-9400
Phone
(405) 514-4786
Fax
(405) 758-5354
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 R0069871 OK Primary

Addresses

Primary practice location

2001 Cradduck Rd
Ada, OK 74820-9400

Mailing address

9300 County Road 3500
Ada, OK 74820-3597
Phone (505) 862-3682

Other practice location 1

1621 Cradduck Rd
Ada, OK 74820-8408
Phone (580) 272-0485

Other practice location 2

1012 14th Ave NW
Ardmore, OK 73401-1807
Phone (580) 226-1251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180427001689 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012013998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Oklahoma Anesthesia Consultants PLLCGroup PAC ID 4587924865, 15 clinicians

Practice addresses (Care Compare)

3701 E Main St
Weatherford Regional Hospital
Weatherford, OK 73096-3309
Phone (580) 772-5551

430 N Monte Vista St
Mercy Hospital Ada
Ada, OK 74820-4610
Phone (580) 332-2323

Hospital & facility affiliations

  • Mercy Hospital Ada Hospital, Ada, OK, CCN 370020

Merit-based Incentive Payment System (MIPS)

Final score
99.2 of 100Reported as group
Quality
93.03
Promoting interoperability
100
Improvement activities
40
Cost
93.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0069871OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Jun 1, 2024 Accepting new patients
St. Anthony Shawnee Hospital, Inc. CurrentSince Dec 16, 2022 Accepting new patients
St Anthony Shawnee Hospital Inc CurrentSince Dec 16, 2022 Accepting new patients

Locations

7106 Solutions Ctr
Chicago, IL 60677

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Organizations & group practices 3

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1295871283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 COUNTY ROAD 3500",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203597",
            "telephone_number": "505-862-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CRADDUCK RD",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748209400",
            "telephone_number": "405-514-4786",
            "fax_number": "405-758-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 Cradduck Rd",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748208408",
            "country_code": "US",
            "telephone_number": "580-272-0485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 14th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734011807",
            "country_code": "US",
            "telephone_number": "580-226-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHER",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0069871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.