Individual provider Active NPI

Michelle M Grant, CRNA

  • Certified Registered Nurse Anesthetist
  • Norfolk, VA
National Provider Identifier
1093751836
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024165007 Issued in VA
Practice address
600 Gresham Dr
Norfolk, VA 23507-1904
Phone
(757) 473-0055
Fax
(757) 473-0075
NPI assigned
Jun 21, 2006
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024165007 VA Primary
Certified Registered Nurse Anesthetist 367500000X 442685-1 NY

Addresses

Primary practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Mailing address

134 Business Park Dr
Virginia Beach, VA 23462-6523
Phone (757) 473-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, PA, NY, GA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040211000223 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072407071 Reassigns benefits to 2 organizations
I20060908000209 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072407071 Reassigns benefits to 3 organizations
I20090714000047 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072407071 Reassigns benefits to 1 organization
I20090827000330 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072407071 Reassigns benefits to 1 organization
I20100318000466 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072407071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLeod Physician Associates IIGroup PAC ID 8224031307, 541 clinicians

Practice addresses (Care Compare)

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
442685-1NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jan 22, 2016 Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered CurrentSince Dec 3, 2012 Accepting new patients
Dominion Health Medical Assoc. Current Accepting new patients
Dominion Health Medical Assoc CurrentSince Jul 22, 2019 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Sep 1, 2019 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Dominion Health Medical Assoc CurrentSince Jul 22, 2019 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince Dec 10, 2018 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince Jun 6, 2016 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Jun 1, 2021 Accepting new patients
Phoebe Putney Memorial Hospital Inc Current Accepting new patients
Anesthesia Services of Kentucky, PLLC Past Accepting new patients
Prisma Health-Upstate Past Accepting new patients
Piedmont Triad Anesthesia, PA Nurse Anesthetist, Certified Registered PastSince Jul 20, 2004 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Kansas Professional Anesthesia and Pain Management Specialists, P.a. PastSince May 14, 2001 Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients
Zanesville Anesthesia Physicians Inc Past Accepting new patients
Mobile Anesthesia, LLC Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

135 W Ravine Rd
Ste 5-B
Kingsport, TN 37660
Phone (423) 224-3460

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095

504 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3400

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

1975 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 507-0170

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

Organizations & group practices 21

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

View all 21

Hospital & facility affiliations 1

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1093751836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BUSINESS PARK DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626523",
            "telephone_number": "757-473-0055",
            "fax_number": "757-473-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-473-0055",
            "fax_number": "757-473-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024165007",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "442685-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.