1. Home
  2. Directory
  3. Illinois
  4. Frankfort
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

RYAN THOMAS MACCRACKEN
NPI 1609546324
Nurse Anesthetist, Certified Registered in Frankfort, IL

Active since September 14, 2021PECOS Enrolled
108 LARCH RD, FRANKFORT, IL 60423(815) 823-4108 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ryan Thomas Maccracken NPPES

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

RYAN THOMAS MACCRACKEN (NPI 1609546324) is an individual nurse anesthetist, certified registered in Frankfort, Illinois, licensed in Illinois (209027569) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609546324
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRYAN THOMAS MACCRACKEN
Location Address108 LARCH RDFrankfort, IL 60423-1513
Mailing Address108 Larch RdFrankfort, IL 60423-1513 · (815) 823-4108
Phone(815) 823-4108
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 14, 2021
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1609546324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209027569
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041462258 (IL)
108 LARCH RD, Frankfort, IL 60423
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Thomas Maccracken is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002279122
PECOS Enrollment IDI20230822003936
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ryan Maccracken reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Anesthesia Of Illinois Professional Corporation
26 mi
Anesthesiology
375 N WALL ST
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
NPI 1932089778 (855) 369-7546
Novus Illinois Service Corporation
26 mi
Anesthesiology
350 N WALL ST
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 55 clinicians in this Medicare group
NPI 1295491744 (159) 357-2568

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60423 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Maccracken's NPI number?

The NPI number for Ryan Maccracken is 1609546324. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Ryan Maccracken located?

Ryan Maccracken practices at 108 Larch Rd, Frankfort, IL 60423. The listed phone number is (815) 823-4108.

What is Ryan Maccracken's specialty?

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

Is Ryan Maccracken enrolled in Medicare?

Yes. Ryan Maccracken is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ryan Maccracken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Maccracken reassigns Medicare benefits to 2 organizations: Premier Anesthesia Of Illinois Professional Corporation (Kankakee, IL) and Novus Illinois Service Corporation (Kankakee, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Maccracken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ryan Maccracken affiliated with any hospitals?

According to CMS data, Ryan Maccracken is affiliated with Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Ryan Maccracken was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.