Individual provider Active NPI

Kenneth Grigsby, CRNA

  • Certified Registered Nurse Anesthetist
  • Terre Haute, IN
National Provider Identifier
1497104301
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
514266 Issued in IN
Practice address
1421 N 7TH St
Terre Haute, IN 47807-1005
Phone
(812) 231-4608
NPI assigned
Jun 10, 2016
Last updated
Jun 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 514266 IN Primary

Addresses

Primary practice location

1421 N 7TH St
Terre Haute, IN 47807-1005

Mailing address

2001 Oak Creek Rd Apt D128
River Ridge, LA 70123-5837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160802002214 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284928029 Reassigns benefits to 2 organizations
I20201221000839 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284928029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Louisiana State University School of Medicine in New Orleans, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iceland Anesthesia Management LLCGroup PAC ID 7618372996, 75 clinicians

Practice addresses (Care Compare)

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
514266INMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Oct 26, 2020 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Oct 26, 2020 Accepting new patients
Jebs Anesthesia Consultants, LLC CurrentSince Jun 27, 2024 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-0557

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

3212 Hickory Rd
Ste A
Mishawaka, IN 46545
Phone (574) 251-0498

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

1421 N 7th St
#4
Terre Haute, IN 47807

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Interoperability endpoints

  • Direct secure messaging: kgrigsby918209@direct.unitypoint.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1497104301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 OAK CREEK RD APT D128",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701235837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071005",
            "telephone_number": "812-231-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGSBY",
        "first_name": "KENNETH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "514266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.