MR. THOMAS J GIANNACCINI III CRNA
NPI 1861814238
Nurse Anesthetist, Certified Registered in Fort Sam Houston, TX

Active since January 20, 2014PECOS EnrolledAccepts Medicare Assignment
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE, FORT SAM HOUSTON, TX 78234(210) 539-9582 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, Aug 9, 2024, May 9, 2023 and 1 more (4 updates tracked since 2019).

About Mr. Thomas J Giannaccini Iii Crna NPPES

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

MR. THOMAS J GIANNACCINI III CRNA (NPI 1861814238) is an individual nurse anesthetist, certified registered in Fort Sam Houston, Texas, licensed in Florida (APRN9455337) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861814238
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. THOMAS J GIANNACCINI IIICredential: CRNA
Location AddressBROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVEFort Sam Houston, TX 78234-4504
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 20, 2014
Last NPPES UpdateSeptember 16, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1861814238 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
Licenses✔ Licensed in FL · APRN9455337✔ Licensed in MI · 4704357139✔ Licensed in NY · 675906✔ Licensed in ME · RNA193038
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.
BROOKE ARMY MEDICAL CENTER, Fort Sam Houston, TX 78234

Secondary Practice Locations 3

Location 1744 S Webster AveGreen Bay, WI 54301-3505 · Phone (920) 445-7222 · Fax (920) 445-7289
Location 2133 Park StMalone, NY 12953-1243 · Phone (518) 483-3000
Location 310 Wayman LnBar Harbor, ME 04609-1625 · Phone (207) 288-5081

Other Identifiers 2

Other100795Crna Cert
OtherAPRN9455337FL · Fl License. Compact State With Wisconsin

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. Thomas J Giannaccini Iii 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 ID1052535382
PECOS Enrollment IDI20200515001060, I20240221001823, I20260615000681
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

15

Medicare enrollment records show Thomas Giannaccini reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Texas enrollment
  • 1,164 clinicians in this Medicare group
Anesthesiology
3029 W MAIN ST
Jenks, OK 74037
  • Reassigned Medicare billing, Oklahoma enrollment
  • 199 clinicians in this Medicare group
Critical Access
3307 BILL SCHOCK BLVD
Falls City, NE 68355
  • Reassigned Medicare billing, Nebraska enrollment
  • 34 clinicians in this Medicare group
Anesthesiology
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 526 clinicians in this Medicare group
Anesthesiology
1670 ST VINCENTS WAY
Middleburg, FL 32068
  • Reassigned Medicare billing, Florida enrollment
  • 177 clinicians in this Medicare group
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
Anesthesiology
700 E BEARDSLEY AVE STE 209
Elkhart, IN 46514
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Great Lakes Anesthesia PC
  • 60 clinicians in this Medicare group
General Acute Care Hospital
1234 NAPIER AVE
Saint Joseph, MI 49085
  • Reassigned Medicare billing, Michigan enrollment
  • 249 clinicians in this Medicare group
Audiologist
588 E LAKEWOOD BLVD
Holland, MI 49424
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
Land Transport
1000 HIGHWAY 12
Hettinger, ND 58639
  • Reassigned Medicare billing, North Dakota enrollment
  • 74 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.

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Oklahoma Surgical Hospital, LLC

Acute Care Hospitals · Tulsa, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370210
Location2408 East 81st Street, Suite 300Tulsa, OK 74137 · Tulsa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78234 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Psychologist (Clinical)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Internal Medicine
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Nurse Anesthetist, Certified Registered
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Psychologist (Prescribing (Medical))
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Psychiatry & Neurology (Neurology)
BROOKE ARMY MEDICAL CENTER, 3851 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Surgery (Surgical Critical Care)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DRIVE
FORT SAM HOUSTON, TX 78234
Student in an Organized Health Care Education/Training Program
BROOKE ARMY MEDICAL CENTER, 3551 ROGER BROOKE DR.
FORT SAM HOUSTON, TX 78234

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 Thomas Giannaccini's NPI number?

The NPI number for Thomas Giannaccini is 1861814238. It was assigned to this individual provider in the NPPES registry on January 20, 2014.

Where is Thomas Giannaccini located?

Thomas Giannaccini practices at Brooke Army Medical Center 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.

What is Thomas Giannaccini's specialty?

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

Is Thomas Giannaccini enrolled in Medicare?

Yes. Thomas Giannaccini 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 Thomas Giannaccini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Giannaccini reassigns Medicare benefits to 15 organizations: Northstar Anesthesia, PA (Arlington, TX), Integral Anesthesia, LLC (Jenks, OK), Community Medical Center, Inc. (Falls City, NE), Professional Anesthesia Services Of Kentucky PLLC (Louisville, KY), North Florida Anesthesia Consultants Inc (Middleburg, FL) and 10 more organizations, listed in the Medicare section above. 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 Thomas Giannaccini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Giannaccini accept?

Health plans from Baylor Scott and White Health Plan list Thomas Giannaccini 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.

Is Thomas Giannaccini affiliated with any hospitals?

According to CMS data, Thomas Giannaccini is affiliated with Spectrum Health and Oklahoma Surgical Hospital, LLC.

When was this NPI record last updated?

The NPPES record for Thomas Giannaccini was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.