MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1417149204

MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA 1303 (NV). The NPI Number for MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) is 1417149204

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT)
NPI
1417149204
Phone
(775) 329-4600
Address
880 RYLAND ST
Enumeration Date
15 August 2007
Last Update Date
2 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2539441289
Graduation Year
2009 (17 years ago)
PAC ID
6608958376
Group Practice PAC ID
9032368220
Professional Enrollment ID
I20210920001441
Address ID
WA980038366FE35002SXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

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Provider Addresses for MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT)

  • 880, Ryland Street, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895021603

    Phone: (775) 329-4600

    Fax: (775) 329-4992

    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 5 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Boston Scientific Corporation ($110).

Total Amount

$171

General + Research + Ownership

Payments

5

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210920001441IPhysician AssistantWATBD
I20251118003726IPhysician AssistantAZTBD

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 89502)

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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: 9032368220View full group profile
NameSpecialtyState
Physician AssistantNJ
Physician AssistantWA
-WA
-WA
Interventional Pain Management, Pain ManagementWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Can I use this page to confirm MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT)'s NPI?
Yes. MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) is listed with NPI 1417149204 in the public NPI dataset.
Is MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) still practicing?
MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) is currently listed as active in the public NPI registry.
What is MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT)'s primary classification?
Medical Physician Assistant is the headline specialty for MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) here. Clinical services aligned with this taxonomy classification.
Does MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) list a practice location?
Patients near Reno, Nevada may find MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) in results; validate coverage separately.
Why does MR. RICHARD GEORGE MCCRACKEN (PHYSICIAN ASSISTANT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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