CORNELL GRAHAM CRNA
NPI 1871917294
Nurse Anesthetist, Certified Registered in Jackson, MS

Active since February 05, 2014PECOS EnrolledAccepts Medicare Assignment
2500 N STATE ST, DEPARTMENT OF ANESTHESIA, JACKSON, MS 39216(601) 984-5952(601) 984-5939 Get Directions Write a Review

NPPES record last updated: March 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2015, Dec 15, 2015 (2 updates tracked since 2015).

About Cornell Graham Crna NPPES

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

CORNELL GRAHAM CRNA (NPI 1871917294) is an individual nurse anesthetist, certified registered in Jackson, Mississippi, licensed in Mississippi (R880851) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS, is affiliated with Merit Health Madison, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871917294
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCORNELL GRAHAMCredential: CRNA
Location Address2500 N STATE ST, DEPARTMENT OF ANESTHESIAJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5952 · Fax (601) 984-5939
Fax(601) 984-5939
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 5, 2014
Last NPPES UpdateMarch 10, 20162 updates tracked since enumeration
✔ NPI 1871917294 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 MS · R880851✔ Licensed in TX · 2723
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.
2500 N STATE ST, Jackson, MS 39216

Other Identifiers 5

Medicare PIN374065YX3DMS
Medicaid09739086MS
OtherP01590551MS · Railroad Medicare
Medicaid2406230LA
Medicare PIN374065YPCOMS

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

Cornell 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 ID8426289786
PECOS Enrollment IDI20141111000581
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

6

Medicare enrollment records show Cornell Graham reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

End-Stage Renal Disease (ESRD) Treatment
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • Also billed through NPI 1831520691 (Mississippi)
  • 1,932 clinicians in this Medicare group
Cardiovascular Disease
1600 N STATE ST, SUITE 400
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Medical Foundation Of Central Mississippi Inc
  • 423 clinicians in this Medicare group
Anesthesiology
1151 N STATE ST, SUITE 311
Jackson, MS 39202
  • Reassigned Medicare billing, Mississippi enrollment
  • 92 clinicians in this Medicare group
Anesthesiology
234 E CAPITOL ST
Jackson, MS 39201
  • Reassigned Medicare billing, Mississippi enrollment
  • 187 clinicians in this Medicare group
Anesthesiology
1030 RIVER OAKS DR, RIVER OAKS HEALTH SYSTEM
Jackson, MS 39208
  • Reassigned Medicare billing, Mississippi enrollment
  • 154 clinicians in this Medicare group
Anesthesiology
3340 PLAYERS CLUB PKWY STE 350
Memphis, TN 38125
  • Reassigned Medicare billing, Mississippi enrollment
  • 284 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.

Areas of Expertise CMS Part B claims 4

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 other procedure on lower abdomen 00840
Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.
14 services14 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
13 services13 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients
Anesthesia for placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Merit Health Madison

Acute Care Hospitals · Canton, MS
OwnershipProprietary
CMS Certification Number250038
Location161 River Oaks DriveCanton, MS 39046 · Madison County
Emergency services

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250102
Location1225 N State StJackson, MS 39202 · Hinds County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216

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 Cornell Graham's NPI number?

The NPI number for Cornell Graham is 1871917294. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Cornell Graham located?

Cornell Graham practices at 2500 N State St Department Of Anesthesia, Jackson, MS 39216. The listed phone number is (601) 984-5952.

What is Cornell Graham's specialty?

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

Is Cornell Graham enrolled in Medicare?

Yes. Cornell 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 Cornell Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cornell Graham reassigns Medicare benefits to 6 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Baptist Jackson Heart Cardiology Clinic-Magee (Jackson, MS), Jackson Anesthesia Associates PA (Jackson, MS), Perioperative Services Of Mississippi, LLC (Jackson, MS), Anesthesia Consultants PA (Jackson, MS) and 1 more organization, 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 Cornell Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cornell Graham accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Cornell 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.

Is Cornell Graham affiliated with any hospitals?

According to CMS data, Cornell Graham is affiliated with Merit Health Madison and Mississippi Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Cornell Graham was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.