Active NPI
Grayson Fleming McHargue, CRNA
- Certified Registered Nurse Anesthetist
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 218357
- Practice address
- 101 Civic Center LN
Lake Havasu City, AZ 86403-5683 - Phone
- (928) 855-8185
- NPI assigned
- Dec 13, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 95217169 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | 218357 | AZ | Primary |
Addresses
Primary practice location
101 Civic Center LN
Lake Havasu City, AZ 86403-5683
Mailing address
24979 Starr St
Loma Linda, CA 92354-2819
Phone (916) 882-5959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Loma Linda University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185
1205 E N St
Manteca, CA 95336-4932
Phone (209) 239-8360
2900 Eureka Way
Redding, CA 96001-0220
Phone (530) 225-8700
525 W Acacia St
Stockton, CA 95203-2405
Phone (209) 461-7589
825 Delbon Ave
Turlock, CA 95382-2016
Phone (209) 664-2744
Hospital & facility affiliations
- Dameron Hospital
- Doctors Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218357 | AZ | MD | Certified Registered Nurse Anesthetist |
| 95217169 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Green Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
5330 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 788-2273
101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150
2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
2700 Low Ct
Fl 2
Fairfield, CA 94534
Phone (707) 432-2700
223 Clinton Rd
Ste 204
Jackson, CA 95642
Phone (209) 223-5938
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
1238 West St
Redding, CA 96001
Phone (530) 241-5499
1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488
4 Medical Plaza Dr
Ste 210
Roseville, CA 95661
Phone (916) 773-8780
2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Sierra Vista, AZ
- NPI 1487956504
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fairfield, CA
- NPI 1457039331
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1750198602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24979 STARR ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923542819",
"telephone_number": "916-882-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CIVIC CENTER LN",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035683",
"telephone_number": "928-855-8185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHARGUE",
"first_name": "GRAYSON",
"middle_name": "FLEMING",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-13",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95217169",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "218357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.