Individual provider Active NPI

Dwayne Alexander Grimes, CRNA

  • Certified Registered Nurse Anesthetist
  • Pikeville, KY
National Provider Identifier
1952587529
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005541 Issued in KY
Practice address
911 Bypass Rd BLDG a
Pikeville, KY 41501-1689
Phone
(606) 430-3500
Fax
(606) 437-1033
NPI assigned
Jan 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 45527 KY
Certified Registered Nurse Anesthetist 367500000X 3005541 KY Primary

Addresses

Primary practice location

911 Bypass Rd BLDG a
Pikeville, KY 41501-1689

Mailing address

PO Box 432
Pikeville, KY 41502-0432
Phone (606) 430-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dgrimes21732@PIKEVILLEKYDIRECT.ORG Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080410000064 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274610696 Reassigns benefits to 3 organizations
I20130121000116 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274610696 Reassigns benefits to 1 organization

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
Triangle Anesthesia Group, PSCGroup PAC ID 9436161585, 77 clinicians
Pikeville Medical Center IncGroup PAC ID 6709790157, 427 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Hazard, KY 41701-9421
Phone (606) 439-6600

184 S Mayo Trail
Pikeville, KY 41501-1518
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501-1689

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.67 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
81.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2016 Accepting new patients
Pikeville Medical Center Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2008 Accepting new patients
Pikeville Medical Center Inc CurrentSince Jan 18, 2008 Accepting new patients
Triangle Anesthesia Group PSC Nurse Anesthetist, Certified Registered CurrentSince Oct 31, 2020 Accepting new patients

Locations

275 Highway 770
Corbin, KY 40701
Phone (606) 526-7874

1140 Lexington Rd
Georgetown, KY 40324
Phone (502) 868-1100

100 Medical Dr
Hazard, KY 41701
Phone (606) 439-6600

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

11203 Main St
Martin, KY 41649
Phone (606) 285-5181

625 James Trimble Blvd
Paintsville, KY 41240

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

Interoperability endpoints

  • Direct secure messaging: dgrimes21732@pikevillekydirect.org

Organizations & group practices 5

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 6

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1952587529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020432",
            "telephone_number": "606-430-3500",
            "fax_number": "606-437-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BYPASS RD BLDG A",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011689",
            "telephone_number": "606-430-3500",
            "fax_number": "606-437-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "DWAYNE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "45527",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dgrimes21732@PIKEVILLEKYDIRECT.ORG",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.