RUSSELL GLYN RADER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1629023403

RUSSELL GLYN RADER (CRNA) is a healthcare provider. based in Farwell, Michigan. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 4704143484 (MI). The NPI Number for RUSSELL GLYN RADER (CRNA) is 1629023403

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
RUSSELL GLYN RADER (CRNA)
NPI
1629023403
Phone
(989) 802-8875
Address
9975 TIMBER RIDGE RD
Enumeration Date
23 May 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9894269286
Graduation Year
1978 (48 years ago)
PAC ID
8426942095
Group Practice PAC ID
0143262915
Professional Enrollment ID
I20040212000932
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for RUSSELL GLYN RADER (CRNA)

  • 9975 TIMBER RIDGE RD

    FARWELL, MI 48622

    Phone: (989) 802-8875

    Type: Mailing

  • MyMichigan Medical Center Clare, 703, North McEwan Street, Clare, Clare County, Michigan, 48617, United States

    CLARE, MI 48617

    Phone: (989) 802-8875

    Fax: (989) 802-8866

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 48622)

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Provider's Procedures

RUSSELL GLYN RADER (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMI00142Anesthesia for lens surgery2321

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: 0143262915View full group profile
NameSpecialtyState
General Practice, Emergency MedicineMI
Nurse PractitionerMI
Emergency MedicineMI
Physician AssistantMI
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What federal number belongs to RUSSELL GLYN RADER (CRNA)?
The federal identifier for RUSSELL GLYN RADER (CRNA) is NPI 1629023403.
Is RUSSELL GLYN RADER (CRNA) currently active in the NPI registry?
CMS-published data lists RUSSELL GLYN RADER (CRNA) as an active registrant.
What does RUSSELL GLYN RADER (CRNA) treat or focus on?
Patients typically see RUSSELL GLYN RADER (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does RUSSELL GLYN RADER (CRNA) practice in Michigan?
You will see Farwell, Michigan on file for RUSSELL GLYN RADER (CRNA) alongside any extra practice locations.
Is RUSSELL GLYN RADER (CRNA) a real provider?
This page reflects official NPPES data for NPI 1629023403. Always confirm identity and privileges with the practice and licensing boards.

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