MR. TRAVIS JASON GRAHAM CRNA
NPI 1164536009
Nurse Anesthetist, Certified Registered in Grand Rapids, MI
About Mr. Travis Jason Graham Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. TRAVIS JASON GRAHAM CRNA (NPI 1164536009) is an individual nurse anesthetist, certified registered in Grand Rapids, Michigan, licensed in Michigan (4704232998) and active in the NPI registry since August 2006. He is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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
Mr. Travis Jason Graham 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.
Medicare Billing Reassignments
3Medicare enrollment records show Travis Graham reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 199 clinicians in this Medicare group
Holland, MI 49423
- Reassigned Medicare billing, Michigan enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 Travis Graham's NPI number?
The NPI number for Travis Graham is 1164536009. It was assigned to this individual provider in the NPPES registry on August 18, 2006.
Where is Travis Graham located?
Travis Graham practices at 3333 Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 364-4200.
What is Travis Graham's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Travis Graham enrolled in Medicare?
Yes. Travis Graham 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 Travis Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Travis Graham reassigns Medicare benefits to 3 organizations: Celebrity Anesthesia Staffing LLC (Grand Rapids, MI), Saint Mary's Health Services (Grand Rapids, MI) and Macatawa Anesthesia PC (Holland, MI). 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 Travis Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Travis Graham accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Travis Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Travis Graham was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.
# Mr. Travis Jason Graham, CRNA · NPI 1164536009
Nurse Anesthetist, Certified Registered physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1164536009 (Entity type: Individual)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704232998 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3333 EVERGREEN DR NE, Grand Rapids, MI 49525-9756
- **Phone:** (616) 364-4200 · **Fax:** (616) 364-7347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Celebrity Anesthesia Staffing LLC (NPI 1235728403, Grand Rapids, MI); Saint Mary's Health Services (NPI 1124063078, Grand Rapids, MI); Macatawa Anesthesia PC (NPI 1942242136, Holland, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 3, 2014
- **Other identifiers:** Medicare ID-Type Unspecified M73860033; Medicaid 4823070 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1164536009) · Data from the CMS NPPES public registry.