Active NPI
Levi Daniel McClure, CRNA
- Certified Registered Nurse Anesthetist
- Midwest City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 204192
- Practice address
- 2825 Parklawn Dr
Midwest City, OK 73110-4201 - Phone
- (724) 388-1783
- NPI assigned
- Apr 30, 2021
- 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 | 204192 | OK | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2825 Parklawn Dr
Midwest City, OK 73110-4201
Mailing address
600 NE 14TH St
Moore, OK 73160-5752
Phone (724) 388-1783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230419000002 | MD | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5193128247 | Reassigns benefits to 1 organization |
| I20241211000834 | WV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5193128247 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Specialty Physicians of Garrett County, LLC
Practice addresses (Care Compare)
251 N 4TH St
Specialty Physicians of Garrett County
Oakland, MD 21550-1375
Phone (301) 533-4000
Hospital & facility affiliations
- Garrett Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204192 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Valley Hospital of WV, Inc. | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Specialty Physicians of Garrett County, LLC | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000
880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177
100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Oakland, MD
- NPI 1265819866
MD
-
- Emergency Medicine Physician
- Keyser, WV
- NPI 1316054919
Nurse Anesthetist, Certified Registered, WV
-
- Internal Medicine Physician
- Keyser, WV
- NPI 1578305256
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Grantsville, MD
- NPI 1881361442
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": "1619740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1982287686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NE 14TH ST",
"city": "MOORE",
"state": "OK",
"postal_code": "731605752",
"telephone_number": "724-388-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 PARKLAWN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "724-388-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "LEVI",
"middle_name": "DANIEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-30",
"last_updated": "2021-07-15",
"certification_date": "2021-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "204192",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.