ALYSSA GRANHOLM – Certified Registered Nurse Anesthetist, NPI 1851756647

ALYSSA GRANHOLM is a healthcare provider. based in Berkeley heights, New Jersey. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 26NR14710200 (NJ). The NPI Number for ALYSSA GRANHOLM is 1851756647

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA GRANHOLM
NPI
1851756647
Phone
(908) 277-8640
Address
1 DIAMOND HILL RD
Enumeration Date
21 December 2015
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9085222000
Graduation Year
2015 (11 years ago)
PAC ID
4880990894
Group Practice PAC ID
5890867410
Professional Enrollment ID
I20160316001879
Address ID
NJ079013533SU99XXXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

1,126 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NJ

Provider Addresses for ALYSSA GRANHOLM

  • 1 DIAMOND HILL RD

    BERKELEY HEIGHTS, NJ 079222104

    Phone: (908) 277-8640

    Fax: (908) 673-7241

    Type: Location

  • 540 COUNTRY CLUB RD

    BRIDGEWATER, NJ 088071661

    Phone: (732) 828-3000

    Type: Mailing

  • 1 ROBERT WOOD PLACE

    NEW BRUNSWICK, NJ 08901

    Phone: (732) 828-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $86.

Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($86).

Total Amount

$86

General + Research + Ownership

Payments

1

Total payment records

General Amount

$86

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2016-03-16

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160316001879ICertified Registered Nurse Anesthetist (Crna)NJTBD

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 endoscope2019$0
View full utilization report →

Insurance plans in this area (ZIP 07922)

Loading plans...

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: 5890867410View full group profile
NameSpecialtyState
-VA
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YNJ
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)NJ
Certified Registered Nurse Anesthetist (Crna)NJ
-NJ
Certified Registered Nurse Anesthetist (Crna)NC
-NJ
A N E S T H E S I O L O G YNJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find ALYSSA GRANHOLM's NPI?
You can confirm ALYSSA GRANHOLM with NPI 1851756647; it appears in the national provider directory.
Is ALYSSA GRANHOLM's NPI currently valid?
The extract we use shows ALYSSA GRANHOLM as active.
What does ALYSSA GRANHOLM treat or focus on?
Patients typically see ALYSSA GRANHOLM under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is ALYSSA GRANHOLM's primary listing?
We display Berkeley Heights, New Jersey because that is what the record indicates for ALYSSA GRANHOLM.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

MS. SARAH BRYAN (CRNA)

Registered Nurse First Assistant
43, Kensico Drive, Mount Kisco, Westchester, New York, 10549, United States
NPI: 1164414876

JANIS L. SELL (CRNA)

Certified Registered Nurse Anesthetist
Walgreens, 1, Diamond Hill Road, Berkeley Heights, Union County, New Jersey, 07922, United States
NPI: 1316922990

KIRSTEN I SUBRANI (CRNA)

Certified Registered Nurse Anesthetist
633 3rd Avenue, 3rd Avenue, East 41st Street, Murray Hill, Manhattan Community Board 6, Manhattan, New York County, New York, 10017, United States
NPI: 1134176407

GINA TIMOCHKO (CRNA)

Certified Registered Nurse Anesthetist
Walgreens, 1, Diamond Hill Road, Berkeley Heights, Union County, New Jersey, 07922, United States
NPI: 1952330003

DAWN SISCO (CRNA)

Certified Registered Nurse Anesthetist
Little Silver, Monmouth County, New Jersey, 07739, United States
NPI: 1225069081
1 Diamond Hill Rd
NPI: 1366518870

DONGLEI YAN (CRNA)

Certified Registered Nurse Anesthetist
38 WILSON DR
NPI: 1720206907
26960, Perch Lake Road, Noseville, Watertown, Jefferson County, New York, 13601, United States
NPI: 1700065752

HANIYYAH SIDDEEQAH HESTER-ABDULLAH (CRNA)

Certified Registered Nurse Anesthetist
1 Diamond Hill Rd
NPI: 1740513670