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GRANT DAVID KEPHART CRNA
NPI 1043773070
Nurse Anesthetist, Certified Registered in Stockton, CA

Active since April 08, 2019Accepts Medicare Assignment
81.56/100
CMS Quality Rating
ST. JOSEPH'S MEDICAL CENTER, 1800 N. CALIFORNIA ST., STOCKTON, CA 95204(209) 943-2000 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grant David Kephart Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT DAVID KEPHART CRNA (NPI 1043773070) is an individual nurse anesthetist, certified registered in Stockton, California, licensed in California (NA95001045) and active in the NPI registry since April 2019. He maintains a secondary practice location in Sacramento and is a graduate of Other (2018).

NPPES Registry Identity

NPI1043773070
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGRANT DAVID KEPHARTCredential: CRNA
Location AddressST. JOSEPH'S MEDICAL CENTER, 1800 N. CALIFORNIA ST.Stockton, CA 95204
Mailing Address1148 8th AveSacramento, CA 95818-4003 · (530) 864-8882
Phone(209) 943-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2019
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1043773070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · NA95001045
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
ST. JOSEPH'S MEDICAL CENTER, Stockton, CA 95204
Open in Google Maps ↗

Secondary Practice Location 1

Location 12725 Capitol Ave Dept 402Sacramento, CA 95816-6032 · Phone (916) 733-8222 · Fax (916) 733-8224

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grant David Kephart Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779816780
PECOS Enrollment IDI20190606001342

Medicare Billing Reassignments

4

Medicare enrollment records show Grant Kephart reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Services Of San Joaquin, P.C.
3.4 mi
Anesthesiology
500 W HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Anesthesia Services Of San Joaquin PC
  • 217 clinicians in this Medicare group
NPI 1366778227 (877) 580-3144
Sutter Valley Medical Foundation
6.8 mi
Ambulatory Surgical
8011 DON AVE
Stockton, CA 95209
NPI 1467825844 (209) 955-3001
Regents Of The Univ Of Ca
44 mi
Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1447423959 (916) 703-0315
Sda Services Of Ca
306 mi
Anesthesiology
800 E WASHINGTON BLVD
Crescent City, CA 95531
  • Reassigned Medicare billing, California enrollment
  • 134 clinicians in this Medicare group
NPI 1417428970 (707) 464-8511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
25 services25 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services23 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
14 services14 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HARRIET FRANCES CATANIA PHARM.D.
Pharmacist
ST. JOSEPH'S MEDICAL CENTER, 1800 N. CALIFORNIA STREET
STOCKTON, CA 95204
San Joaquin County (209) 467-6518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Kephart's NPI number?

The NPI number for Grant Kephart is 1043773070. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Grant Kephart located?

Grant Kephart practices at St. Joseph's Medical Center 1800 N. California St., Stockton, CA 95204. The listed phone number is (209) 943-2000.

What is Grant Kephart's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Grant Kephart enrolled in Medicare?

Yes. Grant Kephart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Grant Kephart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grant Kephart reassigns Medicare benefits to 4 organizations: Anesthesia Services Of San Joaquin, P.C. (French Camp, CA), Sutter Valley Medical Foundation (Stockton, CA), Regents Of The Univ Of Ca (Sacramento, CA) and Sda Services Of Ca (Crescent City, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grant Kephart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grant Kephart was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.