Rodderrick Preacher, CRNA
NPI 1154018703 · Certified Registered Nurse Anesthetist · Waxhaw, NC
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rodderrick Preacher, CRNA is a Certified Registered Nurse Anesthetist provider in Waxhaw, NC (NPI 1154018703).
Provider details
- NPI number
- 1154018703
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 8011 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-21
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Rodderrick Preacher's NPI number?
- Rodderrick Preacher's National Provider Identifier (NPI) is 1154018703, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rodderrick Preacher's specialty?
- Rodderrick Preacher is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rodderrick Preacher located?
- Rodderrick Preacher's practice location on file with NPPES is 2022 Napa Valley Dr, Waxhaw, NC 28173-0319.
- What is Rodderrick Preacher's phone number?
- The practice phone number listed in the NPPES registry for Rodderrick Preacher is (980) 939-9479.
- Does Rodderrick Preacher accept Medicare?
- Rodderrick Preacher is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rodderrick Preacher's NPI active?
- Yes — Rodderrick Preacher's NPI (1154018703) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.