KRISTIE J CRADDOCK CRNA
NPI 1790269694
Nurse Anesthetist, Certified Registered in Lafayette, IN

Active since September 18, 2018Accepts Medicare Assignment
2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2021, Sep 18, 2018 (2 updates tracked since 2018).

About Kristie J Craddock Crna NPPES

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

KRISTIE J CRADDOCK CRNA (NPI 1790269694) is an individual nurse anesthetist, certified registered in Lafayette, Indiana, licensed in Indiana (28184695A) and active in the NPI registry since September 2018. She is affiliated with Deaconess Hospital Inc and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).

NPPES Registry Identity

NPI1790269694
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKRISTIE J CRADDOCKCredential: CRNA
Location Address2600 GREENBUSH STLafayette, IN 47904-2477
Mailing AddressPo Box 5545Lafayette, IN 47903-5545 · (765) 448-8000
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019
Enumeration DateSeptember 18, 2018
Last NPPES UpdateFebruary 4, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1790269694 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
License✔ Licensed in IN · 28184695A
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.
2600 GREENBUSH ST, Lafayette, IN 47904

Accepted 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

Kristie J Craddock 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 ID1658617188
PECOS Enrollment IDI20190103003221, I20250730002476

Medicare Billing Reassignments

6

Medicare enrollment records show Kristie Craddock reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Clinical Medical Laboratory
2600 GREENBUSH ST
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
Anesthesiology
13421 OLD MERIDIAN ST
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 16 clinicians in this Medicare group
Geriatric Medicine
4498 N 1ST AVE
Evansville, IN 47710
  • Reassigned Medicare billing, Indiana enrollment
  • 717 clinicians in this Medicare group
Anesthesiology
43422 W OAKS DR # 332
Novi, MI 48377
  • Reassigned Medicare billing, Indiana enrollment
  • 90 clinicians in this Medicare group
Anesthesiology
10415 WALLACE ALLEY ST
Kingsport, TN 37663
  • Reassigned Medicare billing, Tennessee enrollment
  • 294 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Indiana enrollment
  • 287 clinicians in this Medicare group

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 2

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 large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
19 services19 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47904 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Internal Medicine (Critical Care Medicine)
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Student in an Organized Health Care Education/Training Program
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Nurse Anesthetist, Certified Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Anesthesiology
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Speech-Language Pathologist
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Dietitian, Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904

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 Kristie Craddock's NPI number?

The NPI number for Kristie Craddock is 1790269694. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Kristie Craddock located?

Kristie Craddock practices at 2600 Greenbush St, Lafayette, IN 47904. The listed phone number is (765) 448-8000.

What is Kristie Craddock's specialty?

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

Is Kristie Craddock enrolled in Medicare?

Yes. Kristie Craddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kristie Craddock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristie Craddock reassigns Medicare benefits to 6 organizations: Arnett Clinic, LLC (Lafayette, IN), Crossroads Anesthesia P C (Carmel, IN), Deaconess Hospital, Inc (Evansville, IN), Aas Indiana LLC (Novi, MI), Paragon Anesthesia PC (Kingsport, TN) and 1 more organization, listed in the Medicare section above. 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 Kristie Craddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristie Craddock accept?

Health plans from CareSource list Kristie Craddock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristie Craddock affiliated with any hospitals?

According to CMS data, Kristie Craddock is affiliated with Deaconess Hospital Inc and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kristie Craddock was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.