Justin William Graham, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

101710 Issued in NE

Practice address

635 N 152ND Cir
Omaha, NE 68154-1801

Phone

(308) 631-8533

NPI assigned

Jun 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NE, IA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CHI Health Clinic Physician Enterprise-Anesthesia LLCGroup PAC ID 2264794569, shared by 2 NPIs, 224 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI Health Immanuel Hospital, Omaha, NE, CCN 280081
• CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
• Nebraska Spine Hospital, LLC Hospital, Omaha, NE, CCN 280133

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.

• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1356858419

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• York General Hospital

  • Critical Access Hospital
  • York, NE
  • NPI 1588764898
  Medicare reassignment NPD
• York General Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • York, NE
  • NPI 1982704250

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• CHI Health Clinic Physician Enterprise-Anesthesia LLC

  • Anesthesiology Physician
  • Council Bluffs, IA
  • NPI 1639687114

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Memorial Community Hospital Corporation

  • Critical Access Hospital
  • Blair, NE
  • NPI 1265408819
  Medicare reassignment
• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  Medicare reassignment
• North Platte Nebraska Hospital Corporation

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  NPD
• York General Hospital

  • Durable Medical Equipment & Medical Supplies
  • York, NE
  • NPI 1851491153
  NPD
• CHI Health Clinic Specialty, LLC

  • Hospitalist Physician
  • Lincoln, NE
  • NPI 1285138065
  NPD (past)

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

• Alegent Health Immanuel Medical Center

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1912085184
  Care Compare affiliation
• Nebraska Spine Hospital, LLC

  • Special Hospital
  • Omaha, NE
  • NPI 1649595448
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1265517759
  Care Compare affiliation

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1326618166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14676 HAWTHORNE AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541170",
            "telephone_number": "308-631-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N 152ND CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681541801",
            "telephone_number": "308-631-8533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Rosary Dr",
            "address_purpose": "LOCATION",
            "city": "Corning",
            "state": "IA",
            "postal_code": "508411683",
            "country_code": "US",
            "telephone_number": "641-322-3121",
            "fax_number": "641-322-4872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JUSTIN",
        "middle_name": "WILLIAM",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NE",
            "license": "75076",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101710",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-169907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.graham@bryanhealthcollege.edu",
            "affiliation": "N",
            "address_1": "635 N 152nd Cir",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681541801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justin.graham@bryannhealthcollege.edu",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "635 N 152nd Cir",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681541801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Graham
• Collin Graham
• Elizabeth Graham
• Jalisa Graham
• Joseph W Graham
• Kyle Francis Graham, RPH
• Maegen Graham
• Melissa Graham, PHARMD
• Montoya Graham
• Morgan Graham

• Certified Registered Nurse Anesthetist in Omaha, NE
• Providers in Omaha, NE by specialty
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.