CRANIOM LLC
NPI 1396256293
Psychiatry & Neurology - Clinical Neurophysiology in Mesquite, NV

Active since October 18, 2017
575 LOS ALTOS CIR, MESQUITE, NV 89027(701) 388-5390 Get Directions Write a Review

NPPES record last updated: September 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2021, Oct 18, 2017 (2 updates tracked since 2017).

About Craniom Llc NPPES

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

CRANIOM LLC (NPI 1396256293) is a healthcare organization registered as a clinical neurophysiology in Mesquite, Nevada and active in the NPI registry since October 2017. The organization lists James Tritchler, Manager, as its authorized official.

NPPES Registry Identity

NPI1396256293
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameCRANIOM LLC
Location Address575 LOS ALTOS CIRMesquite, NV 89027-2523
Mailing Address575 Los Altos CirMesquite, NV 89027-2523 · (701) 388-5390
Organization SubpartNo
Authorized OfficialJames TritchlerManager · (701) 388-5390
Enumeration DateOctober 18, 2017
Last NPPES UpdateSeptember 23, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2021
✔ NPI 1396256293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Also ListedSpecialist/Technologist, Other · ElectroneurodiagnosticTaxonomy 246ZE0600X · License 3282
575 LOS ALTOS CIR, Mesquite, NV 89027

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Craniom Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Craniom LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Qualified Audiologist
NPI 1871679787
428 S DOUGLAS ST APT 1
Salt Lake City, UT 84102
(435) 414-0128
✔ Accepts Medicare296 mi
Neurology
NPI 1437363538
13572 BRAEMAR DR
Farmers Branch, TX 75234
(866) 516-2694
✔ PECOS✔ Accepts Medicare1,012 mi

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

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 Craniom LLC's NPI number?

The NPI number for Craniom LLC is 1396256293. It was assigned to this organization in the NPPES registry on October 18, 2017.

Where is Craniom LLC located?

Craniom LLC is located at 575 Los Altos Cir, Mesquite, NV 89027. The listed phone number is (701) 388-5390.

What is Craniom LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

Is Craniom LLC enrolled in Medicare?

Yes. Craniom LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Craniom LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Craniom LLC, in Neurology and Qualified Audiologist. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Craniom LLC was last updated on September 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.