TREY GRAVIETT – Certified Registered Nurse Anesthetist, NPI 1194112409

TREY GRAVIETT is a healthcare provider. based in Cape girardeau, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 2015011477 (MO). The NPI Number for TREY GRAVIETT is 1194112409

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
TREY GRAVIETT
NPI
1194112409
Phone
(573) 331-5150
Address
211 SAINT FRANCIS DR
Enumeration Date
24 April 2015
Last Update Date
5 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189987000
Graduation Year
2015 (11 years ago)
PAC ID
9133430986
Group Practice PAC ID
4981912607
Professional Enrollment ID
I20231113002820
Address ID
IL629595884MA3333XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for TREY GRAVIETT

  • 211 SAINT FRANCIS DR

    CAPE GIRARDEAU, MO 637035049

    Phone: (573) 331-5150

    Fax: (573) 331-5026

    Type: Location

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-5583

    Fax: (573) 331-5079

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($21).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-11-13

PECOS data refreshed: 2026-05-27

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
I20150619000834ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20231113002820ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3737$0
00813Anesthesia for procedure on small and large bowel using an endoscope2424$0
00811Anesthesia for other procedure on large bowel using an endoscope2323$0
View full utilization report →

Insurance plans in this area (ZIP 63703)

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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: 4981912607View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MO

Reviews

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Frequently asked questions

What is the 10-digit NPI for TREY GRAVIETT?
TREY GRAVIETT — NPI 1194112409 — is the standard way to identify this listing.
Can I rely on TREY GRAVIETT being an active provider?
As of the registry snapshot, TREY GRAVIETT is marked active.
What is TREY GRAVIETT's specialty?
The listing groups TREY GRAVIETT with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is TREY GRAVIETT based?
TREY GRAVIETT is tied to Cape Girardeau, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about TREY GRAVIETT up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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