NPIMap

Linda A. Grady, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Wilkes Barre, PA

NPI 1811962707 · NPPES record last updated Dec 29, 2023

Key facts

NPI
1811962707
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
RN296478L (PA)
Practice address
1000 East Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-7850
Fax
(570) 808-7855
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Anesthesia PLLC (112 clinicians)
Wayne Memorial Hospital (52 clinicians)

Practice addresses (Care Compare)

575 N River St
Wilkes Barre, PA 18764-0999
Phone (570) 829-8111

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8133

Hospital & facility affiliations

  • Regional Hospital of Scranton Hospital · Scranton, PA · CCN 390237
  • Wayne Memorial Hospital Hospital · Honesdale, PA · CCN 390125

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050505000859 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941240238 Reassigns benefits to 6 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger-HM Joint Venture, LLC Current
since Jan 15, 2024		 Accepting new patients
Geisinger Clinic Current Accepting new patients
360 Anesthesia PLLC Nurse Anesthetist, Certified Registered Current
since May 1, 2022		 Accepting new patients
Geisinger Clinic Current
since Jan 15, 2024		 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Wayne Memorial Hospital Current
since Mar 29, 2025		 Accepting new patients
Digestive Care Associates PC Current
since Aug 10, 2015		 Accepting new patients
Geisinger Clinic Current
since Jan 15, 2024		 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered Current
since Sep 16, 2013		 Accepting new patients
Geisinger-HM Joint Venture LLC Current
since Jan 15, 2024		 Accepting new patients
Blair County Anesthesia, P.C. Past Accepting new patients
Lexington Anesthesia Associates, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

423 Scranton Carbondale Hwy
Scranton, PA 18508
Phone (570) 207-5502

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN296478L PA Yes

Addresses

Primary practice location

1000 East Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

3998 Fair Ridge Dr
Ste 300
Fairfax, VA 22033-2921
Phone (703) 295-9360

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2023.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1811962707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332921",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7850",
            "fax_number": "570-808-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "LINDA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN296478L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

All providers in Wilkes Barre, PA · Certified Registered Nurse Anesthetist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.