Individual provider Active NPI

Billy Richard McCracken, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Longview, TX
National Provider Identifier
1598712606
Registry record updated Mar 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
589465 Issued in TX
Practice address
906 Judson Rd
Longview, TX 75606-2527
Phone
(903) 655-1313
Fax
(903) 657-6067
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2009

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 589465 TX Primary
Certified Registered Nurse Anesthetist 367500000X 72515 TX

Addresses

Primary practice location

906 Judson Rd
Longview, TX 75606-2527

Mailing address

P.O. Box 2527
Longview, TX 75606-2527
Phone (903) 655-1313

Other identifiers 1

IdentifierTypeStateIssuer
172820601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050329000956 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092761494 Reassigns benefits to 1 organization
I20100728000552 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092761494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grasshopper Anesthesia Services PLLCGroup PAC ID 3072882315, 70 clinicians

Practice addresses (Care Compare)

4865 County Rd
Suite 260
Nacogdoches, TX 75965-7016
Phone (936) 564-8324

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
589465TXMDCertified Registered Nurse Anesthetist
72515TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Grasshopper Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2022 Accepting new patients
Christus Health Northern Louisiana CurrentSince Mar 1, 2019 Accepting new patients
Medical Center Anesthesiologists CurrentSince Jan 1, 2020 Accepting new patients
Willis Knighton Medical Center Inc. Crna Group Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2011 Accepting new patients
Med-Trans Corporation Past Accepting new patients
Anesthesia Consultants of Longview Past Accepting new patients
Anesthesia Consultants Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1500 Line Ave
Ste 206
Shreveport, LA 71101
Phone (318) 213-3800

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754

708 N Ashley Ridge Loop
Ste 400
Shreveport, LA 71106
Phone (318) 210-3315

704 Hospital Dr
Carrizo Springs, TX 78834
Phone (830) 876-2424

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

200 W Ollie St
Llano, TX 78643
Phone (325) 216-9199

703 E Marshall Ave
Ste 2000
Longview, TX 75601
Phone (903) 236-5300

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

280 Regency Pkwy
Mansfield, TX 76063
Phone (817) 453-2744

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

3302 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2411

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

3610 N University Dr
Nacogdoches, TX 75965
Phone (936) 254-4703

2400 N Stallings Dr
Ste 405
Nacogdoches, TX 75964

200 S Interstate 35
Pearsall, TX 78061
Phone (888) 250-2326

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

1434 W US Highway 287 Byp
Ste 100
Waxahachie, TX 75165
Phone (469) 940-4030

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 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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236038400000",
    "number": "1598712606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2527",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062527",
            "telephone_number": "903-655-1313",
            "fax_number": "903-657-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756062527",
            "telephone_number": "903-655-1313",
            "fax_number": "903-657-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "BILLY",
        "middle_name": "RICHARD",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "589465",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "72515",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172820601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.