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BRIAN GRISSOM CRNA
NPI 1639106891
Nurse Anesthetist, Certified Registered in Covington, LA

Active since June 26, 2006
1202 S TYLER ST, COVINGTON, LA 70433(985) 898-4000 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brian Grissom Crna NPPES

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

BRIAN GRISSOM CRNA (NPI 1639106891) is an individual nurse anesthetist, certified registered in Covington, Louisiana, licensed in Louisiana (RN097498) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1639106891
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBRIAN GRISSOMCredential: CRNA
Location Address1202 S TYLER STCovington, LA 70433-2330
Mailing Address120 Innwood DrCovington, LA 70433-9123 · (985) 892-3225
Phone(985) 898-4000
Sole ProprietorNo
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 30, 2009
✔ NPI 1639106891 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 LA · RN097498
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.
1202 S TYLER ST, Covington, LA 70433
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Other Identifiers 4

Medicare PINP00402166LA
Medicare PIN5P050D228LA
Medicare PIN5P050LA
Medicaid1563421LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Grissom Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Total Anesthesia Care Stph, LLC
Same address
Anesthesiology
1202 S TYLER ST
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 88 clinicians in this Medicare group
NPI 1669475190 (985) 898-4000

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

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.

SHARON K TOMBERLIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4417
DR. LLOYD JOSEPH GUERINGER JR. MD
Emergency Medicine
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4438
REGINA BOURGEOIS CRNA
Nurse Anesthetist, Certified Registered
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4000
KHALILAH FRANKLIN
Registered Nurse
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 237-8449
DR. HALEY REBECCA DAVIS MD
Emergency Medicine
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4000
HECTOR JORDAN ZAYAS CRNA
Nurse Anesthetist, Certified Registered
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4583
MADISON NUNNERY MOORE NP
Nurse Practitioner (Neonatal)
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4000
GLORIA G DUNN M.D.
Anesthesiology
1202 S TYLER ST
COVINGTON, LA 70433
St. Tammany Parish (985) 898-4000

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 Brian Grissom's NPI number?

The NPI number for Brian Grissom is 1639106891. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Brian Grissom located?

Brian Grissom practices at 1202 S Tyler St, Covington, LA 70433. The listed phone number is (985) 898-4000.

What is Brian Grissom's specialty?

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

Is Brian Grissom enrolled in Medicare?

Yes. Brian Grissom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brian Grissom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Grissom reassigns Medicare benefits to Total Anesthesia Care Stph, LLC (Covington, LA). The 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 Brian Grissom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Grissom accept?

Health plans from HMO Louisiana list Brian Grissom 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 Brian Grissom was last updated on October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.