Individual provider Active NPI

Nicole H Graham, CRNA

  • Certified Registered Nurse Anesthetist
  • New York, NY
National Provider Identifier
1700843638
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN085532 Issued in LA
Practice address
310 East 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003
Phone
(212) 979-4000
NPI assigned
Apr 26, 2006
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP03814 LA
Certified Registered Nurse Anesthetist 367500000X RN085532 LA Primary

Addresses

Primary practice location

310 East 14TH Street
Ny Eye & Ear Infirmary
New York, NY 10003

Mailing address

22 Ibm Rd, Suite 210
East Manhattan Anesthesia Partners, LLC
Poughkeepsie, NY 12601
Phone (504) 842-4000

Other identifiers 1

IdentifierTypeStateIssuer
1100820MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100205000748 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567505092 Reassigns benefits to 5 organizations
I20230911000916 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2567505092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

10310 The Grove Blvd
Baton Rouge, LA 70836-6455
Phone (225) 761-5200

16 W 25TH St
New York, NY 10010-3450
Phone (212) 516-8211

1717 Saint Charles Ave
New Orleans, LA 70130-5223
Phone (504) 529-6600

694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP03814LAMDCertified Registered Nurse Anesthetist
RN085532LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince May 23, 2019 Accepting new patients
Anesthesiology Group Associates Inc CurrentSince Jun 3, 2022 Accepting new patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Nurse Anesthetist, Certified Registered CurrentSince Oct 10, 2024 Accepting new patients
Memorial Anesthesiology Group Nurse Anesthetist, Certified Registered CurrentSince Feb 12, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Jun 1, 2017 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince May 23, 2019 Accepting new patients

Locations (25 of 39)

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213

4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050

42107 Veterans Ave
Hammond, LA 70403
Phone (504) 419-1884

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S460
Marrero, LA 70072
Phone (504) 265-9582

2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668

3333 Kingman St
Ste 202
Metairie, LA 70006
Phone (504) 208-1540

3434 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 454-2017

3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515

4324 Veterans Memorial Blvd
Ste 102
Metairie, LA 70006

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1700843638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 IBM RD, SUITE 210",
            "address_2": "EAST MANHATTAN ANESTHESIA PARTNERS, LLC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EAST 14TH STREET",
            "address_2": "NY EYE & EAR INFIRMARY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-979-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "NICOLE",
        "middle_name": "H",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP03814",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN085532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100820",
            "state": "LA"
        }
    ],
    "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 Jul 27, 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.

Verify at the official NPI Registry.