Individual provider Active NPI

Richard E Crocker, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Carson, CO
National Provider Identifier
1740584572
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024169892 Issued in VA
Practice address
1650 Cochrane Cir
Fort Carson, CO 80913-4613
Phone
(499) 464-5762
NPI assigned
Jan 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001235903 VA
Certified Registered Nurse Anesthetist 367500000X 0102050 CO
Certified Registered Nurse Anesthetist 367500000X 0024169892 VA Primary

Addresses

Primary practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Mailing address

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, TX, CO4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20121113000272 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739330150 Reassigns benefits to 2 organizations
I20180404000142 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739330150 Reassigns benefits to 2 organizations
I20191031000975 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739330150 Reassigns benefits to 3 organizations
I20240522002851 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739330150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001235903VAMDRegistered Nurse
0102050COMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Colorado Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2019 Accepting new patients
El Paso Ams, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 23, 2020 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Oct 25, 2016 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2025 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Oct 25, 2016 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Inova Cares - Community CurrentSince Jun 12, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Nov 1, 2019 Accepting new patients
Texas Ams PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 21, 2021 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Manassas Anesthesia Associates PC Past Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

3030 N Circle Dr
Ste 300
Colorado Springs, CO 80909
Phone (719) 373-1289

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

1619 N Greenwood St
Ste 106
Pueblo, CO 81003
Phone (719) 595-7760

58 Club Manor Dr
Pueblo, CO 81008
Phone (719) 584-4045

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

2000 Transmountain Rd
Ste A
El Paso, TX 79911
Phone (915) 215-4956

4800 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5666

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1815 N Stanton St
El Paso, TX 79902
Phone (915) 533-8412

2000 Transmountain Rd
El Paso, TX 79911
Phone (915) 247-8893

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

7601 Lewinsville Rd
Ste 440
McLean, VA 22102
Phone (703) 663-1440

Organizations & group practices 12

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 7

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1740584572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "499-464-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "RICHARD",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001235903",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "0102050",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024169892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Carson, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.