Doris Elaine Grimes, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

498642 Issued in NY

Practice address

830 Washington St
Watertown, NY 13601-4034

Phone

(315) 449-0513

NPI assigned

Jun 9, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TX2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Anesthesiologist Services PCGroup PAC ID 0840289260, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Merit-based Incentive Payment System (MIPS)

Final score

86.77 of 100Reported as group

Quality

88.12

Improvement activities

40

Cost

77.69

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Jefferson Anesthesiologist Services PC

  • Anesthesiology Physician
  • Watertown, NY
  • NPI 1508818014
  Medicare reassignment Care Compare group
• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Wellsville, NY
  • NPI 1003075029

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Fort Defiance Indian Hospital Board, Incorporation

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1477876639

  TX

  Medicare reassignment NPD
• Susquehanna Anesthesia Affiliates, PC

  • Specialist
  • Johnson City, NY
  • NPI 1669427456
  NPD
• United Health Services Hospitals, Inc.

  • Multi-Specialty Clinic/Center
  • Johnson City, NY
  • NPI 1962463851
  NPD (past)
• Mercy Tyler Health Systems

  • Surgery Physician
  • Tunkhannock, PA
  • NPI 1881616985
  NPD (past)
• Mercy Tyler Hospital

  • General Acute Care Hospital
  • Tunkhannock, PA
  • NPI 1386667533
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Samaritan Medical Center

  • General Acute Care Hospital
  • Watertown, NY
  • NPI 1598713745
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589587200000",
    "number": "1871597724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574505",
            "telephone_number": "315-449-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014034",
            "telephone_number": "315-449-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "DORIS",
        "middle_name": "ELAINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-05-16",
        "certification_date": "2020-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "RN552231",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "498642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Pauline Gregory, MS, CCC-SLP
• Olivia Grenier
• Tracey Grey, RN, CNOR,CRNFA
• Alexandra Grieco, PHARM. D.
• Deborah Ann Grimes, RPH
• Joshua Grimshaw
• Julia Wise Groleau, MS OT R/L
• Grounded Soul Therapy LCSW PLLC
• Carrie A Guga, RPA-C
• Guilfoyle Ambulance Service Inc

• Certified Registered Nurse Anesthetist in Watertown, NY
• Providers in Watertown, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2020; 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.