CPS-Evansville ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CPS-EVANSVILLE ASC LLC

Practice address

6016 E Columbia St
Evansville, IN 47715

Phone

(812) 476-7111

Fax

(812) 476-7117

NPI assigned

Mar 8, 2024

Last updated

Jun 25, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Lewis, MDNPI 1720127913

Title

Owner

Phone

(502) 314-5549

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255199865. Details of each certification follow.

• CCN 15C0002021 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 15C0002021

Legal name

ADVANCED SURGICAL INSTITUTE OF EVANSVILLE

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 21, 2025

Last certification

Jul 18, 2025

Ownership / control type

Proprietary

Facility address

6016 E Columbia Street
Evansville, IN 47715

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Carnes Lewis, MD

  • Pain Medicine (Anesthesiology) Physician
  • Louisville, KY
  • NPI 1720127913
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1255199865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 EXECUTIVE PARK",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074202",
            "telephone_number": "502-907-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6016 E COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47715",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CPS-EVANSVILLE ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-314-5549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John T Cox II, MD
• Kelsey Cox, DPT, NCS
• Lee Anne Cox, R.N., B.S.N.
• Vande Cox, CFNP
• Wendy A Cox, APRN
• Kaylee Crabtree
• Laura G Craddock, MSW
• Lorna D Crafton, NP
• David A Craig, MD
• Jason Craig, PA-C

• Ambulatory Surgical Clinic/Center in Evansville, IN
• Providers in Evansville, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.