Carissa Ashlee Grabanski, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R38064 Issued in ND

Practice address

1200 S Columbia Rd
Grand Forks, ND 58201-4036

Phone

(701) 780-5000

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carissa Ashlee Krueger Former name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Altru Health SystemGroup PAC ID 1355251604, 675 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1043309552

  ND

  Medicare reassignment Care Compare group NPD
• Altru Health System

  • Ambulance
  • Grand Forks, ND
  • NPI 1114485315
  Care Compare group NPD
• Altru Health System

  • Prosthetic/Orthotic Supplier
  • Grand Forks, ND
  • NPI 1033257704
  Care Compare group
• Altru Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Devils Lake, ND
  • NPI 1124117692
  Care Compare group
• Altru Health System

  • Clinic Pharmacy
  • Grand Forks, ND
  • NPI 1144368085
  Care Compare group
• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161
  Care Compare group
• Altru Health System

  • Home Health Agency
  • Grand Forks, ND
  • NPI 1346339850
  Care Compare group
• Altru Health System

  • Home Infusion Therapy Pharmacy
  • Grand Forks, ND
  • NPI 1497844906
  Care Compare group
• Altru Health System

  • Clinic/Center
  • Grand Forks, ND
  • NPI 1811617103
  Care Compare group
• Altru Health System

  • Rural Health Clinic/Center
  • Devils Lake, ND
  • NPI 1912632449
  Care Compare group
• Altru Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Roseau, MN
  • NPI 1144518549
  Care Compare group
• Altru Health System

  • Rural Health Clinic/Center
  • Thief River Falls, MN
  • NPI 1285074328
  Care Compare group

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

• Altru Health System

  • General Acute Care Hospital
  • Grand Forks, ND
  • NPI 1154346161

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1174155774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 S 10TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582017023",
            "telephone_number": "701-740-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014036",
            "telephone_number": "701-780-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABANSKI",
        "first_name": "CARISSA",
        "middle_name": "ASHLEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R38064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "KRUEGER",
            "middle_name": "ASHLEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Misty Elizabeth Goulet
• Bethany Joanne Beyer Gourneau, MD
• Michael A Gourneau, PT
• Jennifer L Gowan, AU.D.
• Nadin Gowan
• Julie Grabanski
• Hayle Gracy
• Madeline C Graff, MOTR/L
• Korie Graham, COTA
• Grand Forks Anesthesia Associates

• All providers in Grand Forks, ND
• Certified Registered Nurse Anesthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.