LADERRICK V CROSSLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1629344932

LADERRICK V CROSSLEY (CRNA) is a healthcare provider. based in Dallas, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP 9292774 (FL). The NPI Number for LADERRICK V CROSSLEY (CRNA) is 1629344932

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
LADERRICK V CROSSLEY (CRNA)
NPI
1629344932
Phone
(972) 233-1999
Address
PO BOX 840853
Enumeration Date
30 March 2012
Last Update Date
25 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7139936053
Graduation Year
2012 (14 years ago)
PAC ID
8820251713
Group Practice PAC ID
0941534770
Professional Enrollment ID
I20130308000214
Address ID
TX778455812CO3312XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

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

Provider Addresses for LADERRICK V CROSSLEY (CRNA)

  • PO BOX 840853

    DALLAS, TX 752840853

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    Type: Mailing

  • 1500 CITYWEST BLVD STE 300

    HOUSTON, TX 770422549

    Phone: (972) 233-1999

    Fax: (972) 233-3666

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-03-08

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
I20130308000214ICertified 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
01270Anesthesia for other procedure on artery of upper leg5545$0
01440Anesthesia for other procedure on artery of knee5142$0
01926Anesthesia for x-ray on artery of brain, heart, or chest5143$0
01500Anesthesia for other procedure on artery of lower leg5040$0
00142Anesthesia for lens surgery3734$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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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: 0941534770View full group profile
NameSpecialtyState
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
-FL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How do payers reference LADERRICK V CROSSLEY (CRNA)?
For LADERRICK V CROSSLEY (CRNA), use NPI 1629344932 as the unique 10-digit identifier.
Is LADERRICK V CROSSLEY (CRNA) shown as active in public data?
Registry records indicate LADERRICK V CROSSLEY (CRNA) maintains an active NPI.
What area of care is associated with LADERRICK V CROSSLEY (CRNA)?
LADERRICK V CROSSLEY (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is LADERRICK V CROSSLEY (CRNA) located near Dallas?
LADERRICK V CROSSLEY (CRNA) currently maps to Dallas, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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