CLINTON RISDON – Certified Registered Nurse Anesthetist, NPI 1245696178

CLINTON RISDON is a healthcare provider. based in Lubbock, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. AP129981 (TX). The NPI Number for CLINTON RISDON is 1245696178

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
CLINTON RISDON
NPI
1245696178
Phone
(806) 796-3000
Address
3419 22ND ST
Enumeration Date
7 January 2016
Last Update Date
22 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067884368
Graduation Year
2015 (11 years ago)
PAC ID
5991009508
Group Practice PAC ID
7416043161
Professional Enrollment ID
I20160202001101
Address ID
TX794243017LU5115XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for CLINTON RISDON

  • 3419 22ND ST

    LUBBOCK, TX 794101334

    Phone: (806) 796-3000

    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)

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-02

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
I20160202001101ICertified Registered Nurse Anesthetist (Crna)TXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery2626$0
00811Anesthesia for other procedure on large bowel using an endoscope1313$0
01230Anesthesia for procedure on upper 2/3rd of thigh bone1313$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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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: 7416043161View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Nurse PractitionerTX
Nurse PractitionerTX
Gastroenterology, Internal MedicineTX
Gastroenterology, Internal MedicineAL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How is CLINTON RISDON identified in CMS data?
CMS-hosted NPPES data lists CLINTON RISDON with NPI 1245696178.
Does the file indicate CLINTON RISDON is practicing under active NPI?
Directory data currently reports CLINTON RISDON as active.
What is CLINTON RISDON's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for CLINTON RISDON here. Clinical services aligned with this taxonomy classification.
Where should I expect CLINTON RISDON on a map?
Expect Lubbock, Texas as a primary anchor for CLINTON RISDON unless the record lists multiple sites.
Is the information about CLINTON RISDON up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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