Active NPI
Billy Richard McCracken, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 589465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172820601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 589465 | TX | MD | Certified Registered Nurse Anesthetist |
| 72515 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grasshopper Anesthesia Services PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Health Northern Louisiana | Current | Accepting new patients | |
| Medical Center Anesthesiologists | Current | Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1932635752
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1669469748
-
dba Willis Knighton Anesthesia Services
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
dba Christus Shreveport-Bossier Health System
- Certified Registered Nurse Anesthetist
- Shreveport, LA
- NPI 1801822762
-
dba Christus Shreveport-Bossier Health System
- Hospitalist Physician
- Shreveport, LA
- NPI 1255754966
-
- Certified Registered Nurse Anesthetist
- Longview, TX
- NPI 1538464748
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Longview, TX
- NPI 1154378248
-
- Air Ambulance
- Foley, AL
- NPI 1275084535
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
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.