Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Travis Jason Graham, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1164536009

Mr. Travis Jason Graham, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Grand Rapids, Michigan. Qualified in 2005, 21 years ago. Practices with Celebrity Anesthesia Staffing LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9756
Phone: (616) 364-4200
Fax: (616) 364-7347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704232998 (MI)

Record details

NPI number1164536009
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 3, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Celebrity Anesthesia Staffing Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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