Individual provider Active NPI

Anna Christine McCracken, CNM

  • Advanced Practice Midwife
  • Lakewood, WA
National Provider Identifier
1386398790
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
AP61474352 Issued in WA
Practice address
11311 Bridgeport Way SW Ste 214
Lakewood, WA 98499-3051
Phone
(253) 985-2920
Fax
(253) 985-6812
NPI assigned
Feb 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 31039 TN
Advanced Practice Midwife 367A00000X AP61474352 WA Primary

Addresses

Primary practice location

11311 Bridgeport Way SW Ste 214
Lakewood, WA 98499-3051

Mailing address

11311 Bridgeport Way SW Ste 214
Lakewood, WA 98499-3051
Phone (253) 985-2920

Other practice location 1

1608 S J St Fl 1
Tacoma, WA 98405-4930
Phone (253) 274-7501

Other identifiers 1

IdentifierTypeStateIssuer
2272477MedicaidWA

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address amccracken452354@direct.vumc.org Direct
Direct Messaging Address amccracken452354@direct.vumc.org Direct
Direct Messaging Address amccracken845943@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003692 WA Practitioner - Certified Nurse Midwife (CNM) 9537554571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

11311 Bridgeport Way SW
Suite 214
Lakewood, WA 98499-3051
Phone (253) 985-2920

Hospital & facility affiliations

  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61474352WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group CurrentSince Feb 12, 2024 Accepting new patients
Franciscan Medical Group CurrentSince Feb 12, 2024 Accepting new patients
Franciscan Health System Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

11311 Bridgeport Way SW
Ste 214
Tacoma, WA 98499
Phone (253) 985-2920

Interoperability endpoints

  • Direct secure messaging: amccracken845943@fhsce.catholichealth.net

Organizations & group practices 4

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 3

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": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1386398790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 214",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993051",
            "telephone_number": "253-985-2920",
            "fax_number": "253-985-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 BRIDGEPORT WAY SW STE 214",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993051",
            "telephone_number": "253-985-2920",
            "fax_number": "253-985-6812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 S J St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984054930",
            "country_code": "US",
            "telephone_number": "253-274-7501",
            "fax_number": "253-274-7991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "ANNA",
        "middle_name": "CHRISTINE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "31039",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61474352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272477",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccracken452354@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372323100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccracken452354@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372323100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amccracken845943@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "11311 Bridgeport Way SW Ste 214",
            "city": "Lakewood",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984993051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.