Individual provider Active NPI

Thomas J Giannaccini III, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Sam Houston, TX
National Provider Identifier
1861814238
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9455337 Issued in FL
Practice address
Brooke Army Medical Center
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234-4504
Phone
(210) 539-9582
NPI assigned
Jan 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704357139 MI
Certified Registered Nurse Anesthetist 367500000X APRN9455337 FL Primary
Certified Registered Nurse Anesthetist 367500000X 675906 NY
Certified Registered Nurse Anesthetist 367500000X RNA193038 ME

Addresses

Primary practice location

Brooke Army Medical Center
3551 Roger Brooke Drive
Fort Sam Houston, TX 78234-4504

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222

Other practice location 1

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7222

Other practice location 2

133 Park St
Malone, NY 12953-1243
Phone (518) 483-3000

Other practice location 3

10 Wayman Ln
Bar Harbor, ME 04609-1625
Phone (207) 288-5081

Other identifiers 2

IdentifierTypeStateIssuer
100795OtherCRNA CERT
APRN9455337OtherFLFL LICENSE. COMPACT STATE WITH WISCONSIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NE, FL, TX, MI, KY, ND, OR, ME, IN, VA, WV, MD, OK14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
I20140606001309 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 2 organizations
I20171113001603 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 1 organization
I20171215000195 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 2 organizations
I20181004000612 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 1 organization
I20200515001060 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 2 organizations
I20210331001492 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 1 organization
I20210729000824 ND Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 3 organizations
I20220822003152 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 1 organization
I20230508002477 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382
I20240221001823 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 1 organization
I20240318000971 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 1 organization
I20250207001056 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382
I20250213002430 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382
I20260615000681 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052535382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9455337FLMDCertified Registered Nurse Anesthetist
RNA193038MEMDCertified Registered Nurse Anesthetist
4704357139MIMDCertified Registered Nurse Anesthetist
675906NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physicians of Garrett County, LLC CurrentSince Mar 3, 2025 Accepting new patients
North Florida Anesthesia Consultants, Inc. CurrentSince Oct 8, 2017 Accepting new patients
West River Health Services Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Aug 4, 2025 Accepting new patients
Valley Anesthesia PC CurrentSince Feb 3, 2024 Accepting new patients
Alice Hyde Medical Center CurrentSince Jun 1, 2019 Accepting new patients
St Joseph's Hospital and Health Center CurrentSince Nov 14, 2022 Accepting new patients
Community Medical Center, Inc. Current Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2021 Accepting new patients
St Josephs Hospital and Health Center CurrentSince Nov 14, 2022 Accepting new patients
Bay Area Hospital District CurrentSince May 12, 2022 Accepting new patients
Specialty Physicians of Garrett County, LLC Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 4, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Aug 5, 2025 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2020 Accepting new patients
Great Lakes Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2024 Accepting new patients
Jefferson Anesthesiologist Services PC CurrentSince Nov 29, 2021 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
St. Joseph's Hospital and Health Center Current Accepting new patients
St Joseph's Hospital and Health Center Current Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc Current Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
North Florida Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 8, 2017 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Jun 6, 2025 Accepting new patients
Bay Area Hospital District Nurse Anesthetist, Certified Registered CurrentSince May 12, 2022 Accepting new patients
CHI Health Clinic Physician Enterprise-Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Mount Desert Island Hospital Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Coal Country Community Health Center Past Accepting new patients

Locations (25 of 30)

Dept LA 25339
Pasadena, CA 91185

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

7360 Solutions Ctr
Chicago, IL 60677
Phone (701) 237-8033

1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

251 N 4th St
Oakland, MD 21550
Phone (301) 533-4000

880 Memorial Dr
Lowr Level
Oakland, MD 21550
Phone (301) 334-1177

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

1000 Highway 12
Hettinger, ND 58639
Phone (701) 567-4561

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090

2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411

2000 E Lamar Blvd
Ste 430
Arlington, TX 76006
Phone (239) 321-5029

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 4

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": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1861814238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROOKE ARMY MEDICAL CENTER",
            "address_2": "3551 ROGER BROOKE DRIVE",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-539-9582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "744 S Webster Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543013505",
            "country_code": "US",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Park St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531243",
            "country_code": "US",
            "telephone_number": "518-483-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Wayman Ln",
            "address_purpose": "LOCATION",
            "city": "Bar Harbor",
            "state": "ME",
            "postal_code": "046091625",
            "country_code": "US",
            "telephone_number": "207-288-5081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANNACCINI",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704357139",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9455337",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "675906",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA193038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNA CERT",
            "identifier": "100795",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE. COMPACT STATE WITH WISCONSIN",
            "identifier": "APRN9455337",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.