JAMES KANON GRIFFITTS – Certified Registered Nurse Anesthetist, NPI 1235012931

JAMES KANON GRIFFITTS is a healthcare provider. based in Coeur d alene, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1205982 (TX). The NPI Number for JAMES KANON GRIFFITTS is 1235012931

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JAMES KANON GRIFFITTS
NPI
1235012931
Phone
(208) 640-4793
Address
1802 N 7TH ST
Enumeration Date
29 July 2025
Last Update Date
29 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099464611
Graduation Year
2025 (1 year ago)
PAC ID
4880196922
Group Practice PAC ID
4880699172
Professional Enrollment ID
I20250912003706
Address ID
WA993523514RI888XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

997 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for JAMES KANON GRIFFITTS

  • 1802 N 7TH ST

    COEUR D ALENE, ID 838143423

    Phone: (208) 640-4793

    Type: Mailing

  • 801 E WHEELER RD

    MOSES LAKE, WA 988371820

    Phone: (509) 765-5606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250908000944ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20250912003706ICertified Registered Nurse Anesthetist (Crna)WATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83814)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880699172View full group profile
NameSpecialtyState
-WA
-WA
Certified Registered Nurse Anesthetist (Crna)WA
-FL
-WA
Certified Registered Nurse Anesthetist (Crna)AL
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)WA
A N E S T H E S I O L O G YMO

Reviews

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Frequently asked questions

How do payers reference JAMES KANON GRIFFITTS?
For JAMES KANON GRIFFITTS, use NPI 1235012931 as the unique 10-digit identifier.
Would JAMES KANON GRIFFITTS appear as active to a payer?
You can treat JAMES KANON GRIFFITTS as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is JAMES KANON GRIFFITTS?
JAMES KANON GRIFFITTS is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is JAMES KANON GRIFFITTS located near Coeur D Alene?
JAMES KANON GRIFFITTS currently maps to Coeur D Alene, Idaho in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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