RYAN THOMAS MACCRACKEN – Certified Registered Nurse Anesthetist, NPI 1609546324

RYAN THOMAS MACCRACKEN is a healthcare provider. based in Frankfort, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 209027569 (IL). The NPI Number for RYAN THOMAS MACCRACKEN is 1609546324

Main info

Male
3 Years Of Experience
Name
RYAN THOMAS MACCRACKEN
NPI
1609546324
Phone
(815) 823-4108
Address
108 LARCH RD
Enumeration Date
14 September 2021
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8553697546
Graduation Year
2023 (3 years ago)
PAC ID
6002279122
Group Practice PAC ID
1254826175
Professional Enrollment ID
I20230822003936
Address ID
IL609012901KA350XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for RYAN THOMAS MACCRACKEN

  • 108 LARCH RD

    FRANKFORT, IL 604231513

    Phone: (815) 823-4108

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-07-26 • Largest payer in this snapshot: Medtronic, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$22
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230822003936ICertified Registered Nurse Anesthetist (Crna)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60423)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254826175View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Interventional Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What number should I use to identify RYAN THOMAS MACCRACKEN for billing?
Administrative and clinical systems typically use NPI 1609546324 for RYAN THOMAS MACCRACKEN.
Is RYAN THOMAS MACCRACKEN's NPI status active today?
Active status means RYAN THOMAS MACCRACKEN's NPI record is not deactivated in the public file.
What services align with RYAN THOMAS MACCRACKEN's listing?
RYAN THOMAS MACCRACKEN's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to RYAN THOMAS MACCRACKEN?
The directory associates RYAN THOMAS MACCRACKEN with Frankfort, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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