Active NPI
Margaret Mary Grissinger, CRNA
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
National Provider Identifier
1104852508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP1615992
- Practice address
- 12230 Franklin Brook LN S
Jacksonville, FL 32225-5186 - Phone
- (904) 472-0484
- NPI assigned
- Jun 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP1615992 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | CRNA000242 | NV |
Addresses
Primary practice location
12230 Franklin Brook LN S
Jacksonville, FL 32225-5186
Mailing address
12230 Franklin Brook LN S
Jacksonville, FL 32225-5186
Phone (904) 472-0484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018633300 | Medicaid | FL | |
| 307078600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4649 | CT | MD | Periodontist |
| 3020 | CA | MD | Speech-Language Pathologist |
| ARNP1615992 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Central Brevard Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| North American Partners in Anesthesia LLP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Rockledge, FL
- NPI 1205875671
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1104852508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12230 FRANKLIN BROOK LN S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255186",
"telephone_number": "904-472-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 FRANKLIN BROOK LN S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255186",
"telephone_number": "904-472-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISSINGER",
"first_name": "MARGARET",
"middle_name": "MARY",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-25",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP1615992",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "CRNA000242",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018633300",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307078600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.