Individual provider Active NPI

Grayson Fleming McHargue, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake Havasu City, AZ
National Provider Identifier
1750198602
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
218357 Issued in AZ
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

Updated by the provider on Aug 14, 2025

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 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, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250128004779 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234668799 Reassigns benefits to 2 organizations
I20250428002161 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9234668799 Reassigns benefits to 2 organizations

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
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians

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 Hospital, Stockton, CA, CCN 050122
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
218357AZMDCertified Registered Nurse Anesthetist
95217169CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2025 Accepting new patients
Valley Regional Anesthesia Associates Inc CurrentSince Jan 9, 2025 Accepting new patients
Green Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.