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Deactivated NPI 1669460671 Deactivated / Inactive NPI Male Practitioner

John William Rafferty , CRNA

Registered Nurse • Corpus Christi, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, John Rafferty has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2005
NPI Deactivation Date November 08, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

John Rafferty, CRNA was a registered Registered Nurse practicing in Corpus Christi, TX. Throughout an active medical career spanning 16 years, John Rafferty provided care at the practice location at 5950 SARATOGA BLVD until profile deactivation on 2021-11-08.

Historical Medicare Part B clinical services included anesthesia for lens surgery, anesthesia for other procedure on urinary system through urethra, anesthesia for procedure on lower intestine using an endoscope. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5950 Saratoga Blvd

Corpus Christi, TX 784144100

Telephone 3619855000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Corpus Christi, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 4.6 Yrs
Regional Practice Density
91 Specialists

Practicing in Corpus Christi, TX (9146 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
95.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00142 Anesthesia for lens surgery
19 15 $1159.58 $54.76

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License MN R140619-5

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Donna Salas , PT

Physical Therapist - Neurology

NPI 1073675195

Physical Therapist

NPI 1134146699

Registered Nurse, Family Nurse Practitioner (Board Certified)

NPI 1184649576

Doctor of Medicine (M.D.), FACEP

Dr. Amber Villareal , DNP, NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1366131138

Doctor of Nursing Practice, NNPBC

NPI 1427511005

Doctor of Medicine (M.D.)

Yusef Ghamarian , FNP-BC, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1558797217

Family Nurse Practitioner (Board Certified), Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated November 08, 2021

Record deactivated on November 08, 2021

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Updated Practice Location December 08, 2020

Registered at 430 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209292300)

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Updated Practice Location July 27, 2018

Registered at 420 E DIVISION ST, FOND DU LAC, WI 54935 (Tel: 9209292300)

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Updated Business Mailing Address July 27, 2018

Registered at 420 E DIVISION ST, FOND DU LAC, WI 549354560 (Tel: 9209268340)

NPI Profile Active October 30, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 30, 2007

Registered at 5950 SARATOGA BLVD, CORPUS CHRISTI, TX 784144100 (Tel: 3619855000)

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Updated Business Mailing Address October 30, 2007

Registered at PO BOX 18850, CORPUS CHRISTI, TX 784808850 (Tel: 3612995617)

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Provider Name / Credentials Updated October 30, 2007

Recorded as JOHN RAFFERTY, C.R.N.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2007

Registered Nurse (License #R140619-5 in MN)

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Initial NPI Registration & Enumeration October 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669460671
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2005
Last Update: October 30, 2007
Deactivation Date: November 08, 2021

Mailing Address

Po Box 18850

Corpus Christi, TX 784808850

Phone: 3612995617

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.