LARRY D. STUCKEY CRNA
NPI 1467425306
Nurse Anesthetist, Certified Registered in Jackson, MI

Q: What is Larry Stuckey's NPI number?

The NPI number for Larry Stuckey is 1467425306. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Larry Stuckey's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Larry Stuckey was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 10, 2006Accepts Medicare Assignment

205 N EAST AVE, JACKSON, MI 49201(517) 205-7838(517) 205-5903 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Larry D. Stuckey Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY D. STUCKEY CRNA (NPI 1467425306) is an individual nurse anesthetist, certified registered in Jackson, Michigan, licensed in Michigan (4704165719) and active in the NPI registry since February 2006. He is affiliated with Henry Ford Allegiance Health, maintains a secondary practice location in Oregon, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1467425306

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameLARRY D. STUCKEYCredential: CRNA

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(517) 205-7838

Fax(517) 205-5903

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateFebruary 10, 2006

Last NPPES UpdateJanuary 26, 2026

NPPES CertifiedJanuary 26, 2026

✔ NPI 1467425306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in MI · 4704165719✔ Licensed in OH · COA.02581-NA

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

205 N EAST AVE, Jackson, MI 49201

Open in Google Maps ↗

Secondary Practice Location 1

Location 12740 Navarre AveOregon, OH 43616-3216 · Phone (419) 693-4444

Other Identifiers 2

Medicaid0758309OH

Other4704165719MI · Mi License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry D. Stuckey Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810978269

PECOS Enrollment IDI20050722000457

Medicare Billing Reassignment

Medicare enrollment records show Larry Stuckey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

W.A. Foote Memorial Hospital

Same address

Nurse Anesthetist, Certified Registered

205 N EAST AVE, CRNA
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
107 clinicians in this Medicare group

NPI 1598776718 (517) 788-4800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230092

Location205 N East AveJackson, MI 49201 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA RENE DANEK PA-C

Physician Assistant