COURTNEY R GRAHAM CRNA
NPI 1487759502
Nurse Anesthetist, Certified Registered in Hannibal, MO

Q: What is Courtney Graham's NPI number?

The NPI number for Courtney Graham is 1487759502. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Q: What is Courtney Graham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Courtney Graham was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since September 13, 2006Accepts Medicare Assignment

6000 HOSPITAL DR, HANNIBAL, MO 63401(573) 248-5621(573) 248-5264 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2022, Jun 9, 2022, Feb 9, 2021 (3 updates tracked since 2021).

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About Courtney R Graham Crna NPPES

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

COURTNEY R GRAHAM CRNA (NPI 1487759502) is an individual nurse anesthetist, certified registered in Hannibal, Missouri, licensed in Missouri (146423) and active in the NPI registry since September 2006. She is affiliated with Mc Donough District Hospital, maintains a secondary practice location in Quincy, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1487759502

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameCOURTNEY R GRAHAMCredential: CRNA

Location Address6000 HOSPITAL DRHannibal, MO 63401-6887

Mailing Address6000 Hospital Dr., P.o. Box 551Hannibal, MO 63401-0551 · (573) 248-5621

Phone(573) 248-5621

Fax(573) 248-5264

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 13, 2006

Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1487759502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in MO · 146423✔ Licensed in IL · 209006952

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.

Also ListedAnesthesiologyTaxonomy 207L00000X · License C01442 (AR)

6000 HOSPITAL DR, Hannibal, MO 63401

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Secondary Practice Location 1

Location 13301 Broadway StQuincy, IL 62301-3713 · Phone (217) 222-6550 ext. 3163 · Fax (217) 277-2253

Other Identifiers 1

Medicaid910840008MO

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

Courtney R 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.

PECOS PAC ID1951391960

PECOS Enrollment IDI20070417000101

Medicare Billing Reassignment

Medicare enrollment records show Courtney Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hannibal Regional Healthcare System Inc

Same address

Multi-Specialty

6000 HOSPITAL DRIVE
Hannibal, MO 63401

Reassigned Medicare billing, Missouri enrollment
196 clinicians in this Medicare group

NPI 1003956095 (573) 248-1300

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

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 lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number140089

Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County

Emergency services Birthing friendly

Hannibal Regional Hospital

Acute Care Hospitals · Hannibal, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260025

Location6000 Hospital DrHannibal, MO 63401 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63401 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

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.

ELIZABETH ANNE SMITH MSN, AGACNP-BC

Nurse Practitioner (Acute Care)