Individual provider

David Grimm, CRNA

Certified Registered Nurse Anesthetist Medicare enrolled

David Grimm, CRNA is a Certified Registered Nurse Anesthetist in Jackson, OH, registered under NPI 1003906421.

Getting there

The practice address on file is 500 BURLINGTON RD, Jackson, OH 45640. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

500 BURLINGTON RD, Jackson, OH 45640 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
COA.01721-NA OH Certified Registered Nurse Anesthetist primary
42699 KY Certified Registered Nurse Anesthetist

Licences are recorded in 2 states: OH, KY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Certified Registered Nurse Anesthetist (crna)
PAC ID
5890793459

Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kentucky and Ohio. The practice address on file is in Jackson, OH, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky
Licence
42699
Specialty
Certified Registered Nurse Anesthetist
Verify with the KY board →
OH Ohio practice address
Licence
COA.01721-NA
Specialty
Certified Registered Nurse Anesthetist
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Nurse Anesthetist, Certified Registered covers

(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. NUCC Health Care Provider Taxonomy, code 367500000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
367500000X Certified Registered Nurse Anesthetist COA.01721-NA OH primary
367500000X Certified Registered Nurse Anesthetist 42699 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1003906421 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 14, 2006
Last updatedNov 15, 2023
StatusActive
Sole proprietorNo
CredentialCRNA
Practice address 500 BURLINGTON RD
Jackson, OH 45640
(855) 446-5937
Fax (740) 395-8519
Other identifiers 0752074 (OH)
0065977000 (WV)
This record was updated on Nov 15, 2023, which is recent enough that the contact details are likely still accurate.

Number check

1003906421 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 0 3 9 0 6 4 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 0 3 9 0 3 4 4

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1003906421?
NPI 1003906421 is the National Provider Identifier assigned to David Grimm, CRNA in Jackson, OH. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Certified Registered Nurse Anesthetist cover?
(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…
How do I contact David Grimm, CRNA?
The phone number on file with NPPES is (855) 446-5937, last updated Nov 15, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Grimm, CRNA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1003906421 a valid number?
Yes. 1003906421 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.