Individual provider Active NPI

Mona Lee McCrackin, RN

  • Home Health Registered Nurse
  • Eau Claire, WI
National Provider Identifier
1851460877
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
74220-030 Issued in WI
Practice address
4706 Jeffers Rd
Eau Claire, WI 54703-9635
Phone
(715) 226-0740
NPI assigned
Nov 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 74220-030 WI
Home Health Registered Nurse 163WH0200X 74220-030 WI Primary

Addresses

Primary practice location

4706 Jeffers Rd
Eau Claire, WI 54703-9635

Mailing address

4706 Jeffers Rd
Eau Claire, WI 54703-9635
Phone (715) 226-0740

Other identifiers 1

IdentifierTypeStateIssuer
38319800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
74220-030WIMDHome Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851460877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 JEFFERS RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039635",
            "telephone_number": "715-226-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 JEFFERS RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039635",
            "telephone_number": "715-226-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKIN",
        "first_name": "MONA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "74220-030",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "74220-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38319800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.