Individual provider Active NPI

Petrina Craine

  • Emergency Medicine Physician
  • Oakland, CA
National Provider Identifier
1033504402
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
301301 Issued in NY
Practice address
1411 E 31St St
Oakland, CA 94602-1018
Phone
(510) 437-8356
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 301301 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1411 E 31St St
Oakland, CA 94602-1018

Mailing address

3854 Trufant Ave
Memphis, TN 38128-2160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, AR, TX, CA, MS, AZ, FL8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20200130002924 NY Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 3 organizations
I20211108000705 TN Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 2 organizations
I20211108002972 AR Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 1 organization
I20220405002068 TX Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 2 organizations
I20231106003281 CA Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 2 organizations
I20240826004239 MS Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 1 organization
I20241014000538 AZ Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 1 organization
I20250801003738 FL Practitioner - Emergency Medicine 0446686018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kible Health PAGroup PAC ID 0941722474, 21 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
MD Ally Services PAGroup PAC ID 9133516743, shared by 2 NPIs, 23 clinicians

Practice addresses (Care Compare)

Franklin, TN 37067
Phone (646) 396-0527

2100 N 7TH St
West Memphis, AR 72301-2017
Phone (870) 394-7800

4600 E Washington St
Suite 300
Phoenix, AZ 85034-1908
Phone (844) 933-1911

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

7601 Southcrest Pkwy
Southaven, MS 38671-4739
Phone (662) 772-4000

7900 Oak LN
Suite 400
Miami Lakes, FL 33016-6001
Phone (203) 350-2116

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.12 of 100Reported as group
Quality
94.64
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kible Health, P.a. Emergency Medicine CurrentSince Sep 30, 2025 Accepting new patients
MD Ally Services PA Emergency Medicine CurrentSince Aug 10, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2021 Accepting new patients
MD Ally Services PA Emergency Medicine CurrentSince May 31, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 1, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 7, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 2, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Apr 7, 2022 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Dec 2, 2019 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 1, 2019 Accepting new patients
Emergency Medicine Physician Partners of El Dorado County, Inc Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Understood Care Ca PC Emergency Medicine CurrentSince Sep 30, 2025 Accepting new patients
Kible Health TX, P.a. Emergency Medicine CurrentSince Sep 29, 2025 Accepting new patients

Locations

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

2100 N 7th St
West Memphis, AR 72301
Phone (870) 394-7800

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

200 Spectrum Center Dr
Ste 300
Irvine, CA 92618
Phone (949) 345-0021

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

7900 Oak Ln
Ste 400
Miami Lakes, FL 33016
Phone (203) 350-2116

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

348 W 57th St
Ste 180
New York, NY 10019
Phone (801) 631-7318

1500 W Poplar Ave
Collierville, TN 38017
Phone (901) 227-8140

6200 Hospitality Dr
Fl 1
Franklin, TN 37067

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

7 Briercroft Office Park
Fl 2
Lubbock, TX 79412
Phone (917) 341-1803

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: petrina.craine.2@27810.direct.athenahealth.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1033504402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 TRUFANT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018",
            "telephone_number": "510-437-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAINE",
        "first_name": "PETRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "301301",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.