Individual provider Active NPI

Amy Joelle Granquist, CRNA

  • Certified Registered Nurse Anesthetist
  • Leeds, MA
National Provider Identifier
1821267675
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2315447 Issued in MA
Practice address
591 Kennedy Rd
Leeds, MA 01053-9756
Phone
(215) 833-9338
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN535352 PA
Certified Registered Nurse Anesthetist 367500000X RN535352 PA
Certified Registered Nurse Anesthetist 367500000X 2315447 MA Primary

Addresses

Primary practice location

591 Kennedy Rd
Leeds, MA 01053-9756

Mailing address

PO Box 423
Leeds, MA 01053-0423
Phone (215) 833-9338

Other practice location 1

7701 Burholme Ave
Philadelphia, PA 19111-2437
Phone (215) 214-1429

Other identifiers 1

IdentifierTypeStateIssuer
RN535352OtherPARN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170811001029 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901981059 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkshire Medical Center IncGroup PAC ID 1355232711, 195 clinicians

Practice addresses (Care Compare)

725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2315447MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Adams Regional Hospital Corporation CurrentSince Jul 17, 2025 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Nov 28, 2022 Accepting new patients
Springfield Anesthesia Service, Inc. CurrentSince Jul 4, 2017 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Nov 28, 2022 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Jul 17, 2025 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Holyoke Medical Center, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Health Services of Fox Chase Cancer Center Past Accepting new patients
Umass Memorial Medical Group Inc Past Accepting new patients

Locations

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

Organizations & group practices 10

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 1

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": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1821267675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010530423",
            "telephone_number": "215-833-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 KENNEDY RD",
            "city": "LEEDS",
            "state": "MA",
            "postal_code": "010539756",
            "telephone_number": "215-833-9338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7701 Burholme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191112437",
            "country_code": "US",
            "telephone_number": "215-214-1429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANQUIST",
        "first_name": "AMY",
        "middle_name": "JOELLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN535352",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN535352",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "2315447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN535352",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leeds, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.