Active NPI
Graceann Harrison, CRNA
- Registered Nurse
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 630354-1
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (917) 692-3897
- NPI assigned
- Oct 24, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 630354-1 | NY | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 9728 | CT |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rutgers New Jersey Medical School, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7118
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630354-1 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MSK Harrison | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Nuvance Health Medical Practice CT, Inc. | Current | Accepting new patients | |
| Memorial Anesthesiology Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services, PC | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
21 Elm St
New Milford, CT 06776
Phone (860) 210-5000
19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000
500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- Anesthesiology Physician
- New York, NY
- NPI 1467423020
Nurse Anesthetist, Certified Registered
-
- Medical Oncology Physician
- West Harrison, NY
- NPI 1174923593
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1225589443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "917-692-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "GRACEANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-24",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "630354-1",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CT",
"license": "9728",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.