JACLYN GRAHAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1629403472
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,122 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ
Provider Addresses for JACLYN GRAHAM (CRNA)
90 Brick Rd
Marlton, NJ 08053
Phone: (856) 355-6507
Fax: (856) 762-2743
Type: Location
7000 ATRIUM WAY
SUITE 6
MOUNT LAUREL, NJ 080543917
Phone: (856) 840-4500
Fax: (856) 234-4241
Type: Mailing
90 BRICK RD
MARLTON, NJ 08053
Phone: (856) 355-6507
Fax: (856) 762-2743
Type: Location
100 Bowman Dr Fl 2
Voorhees, NJ 080439612
Phone: (856) 988-6260
Type: Location
1 FEDERAL ST STE 200
CAMDEN, NJ 081031088
Phone: (848) 288-6935
Type: Mailing
1 COOPER PLZ DEPT OF
CAMDEN, NJ 081031461
Phone: (856) 342-2425
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: 2014-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140117000099 | I | Certified Registered Nurse Anesthetist (Crna) | NJ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00541 | Anesthesia for procedure on chest with 1 lung inflated | 13 | 13 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 08053)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | NJ | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Advanced Heart Failure And Transplant Cardiology | MD | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ |
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