Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Trey Graviett

Individual provider Certified Registered Nurse Anesthetist · NPI 1194112409

Trey Graviett is a Certified Registered Nurse Anesthetist (CRNA) in Cape Girardeau, Missouri. Qualified in 2015, 11 years ago. Practices with Southeast Missouri Hospital Physicians LLC, a 206-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
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Practice location Address checks out

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone: (573) 331-5150
Fax: (573) 331-5026
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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 2015011477 (MO)

Record details

NPI number1194112409
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2015
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing addressPo Box 801143, Kansas City, MO 64180-1143

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Southeast Missouri Hospital Physicians Llc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cape Girardeau