Active NPI
Richard Thomas Grunke, CRNA
- Certified Registered Nurse Anesthetist
- Rockport, ME
National Provider Identifier
1285456863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RNA263045
- Practice address
- 6 Glen Cove Dr
Rockport, ME 04856-4272 - Phone
- (207) 921-8400
- Fax
- (207) 921-5280
- NPI assigned
- Oct 25, 2024
- Sex
- Male
- 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 | 1103923 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | RNA263045 | ME | Primary |
Addresses
Primary practice location
6 Glen Cove Dr
Rockport, ME 04856-4272
Mailing address
6 Glen Cove Dr
Rockport, ME 04856-4272
Phone (207) 921-8400
Other practice location 1
1704 N Erb St
Appleton, WI 54911-3530
Phone (914) 275-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Riverfront PLZ
Westbrook, ME 04092-9700
PO Box
Pittsburgh, PA 15251
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1103923 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1285456863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GLEN COVE DR",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564272",
"telephone_number": "207-921-8400",
"fax_number": "207-921-5280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GLEN COVE DR",
"city": "ROCKPORT",
"state": "ME",
"postal_code": "048564272",
"telephone_number": "207-921-8400",
"fax_number": "207-921-5280"
}
],
"practiceLocations": [
{
"address_1": "1704 N Erb St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113530",
"country_code": "US",
"telephone_number": "914-275-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUNKE",
"first_name": "RICHARD",
"middle_name": "THOMAS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-25",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "1103923",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "ME",
"license": "RNA263045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockport, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.