Individual provider Active NPI

Justin M Vermeulen, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1295073781
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3016642 Issued in KY
Practice address
8212 Summa Ave
Baton Rouge, LA 70809-3421
Phone
(225) 769-4403
NPI assigned
Jan 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3016642 KY Primary

Addresses

Primary practice location

8212 Summa Ave
Baton Rouge, LA 70809-3421

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

1373 E State Road 62
Madison, IN 47250-7328
Phone (812) 801-0609

Other identifiers 2

IdentifierTypeStateIssuer
300060135MedicaidIN
7100788650MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, KY, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20171206002607 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416192158 Reassigns benefits to 1 organization
I20211123003107 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416192158 Reassigns benefits to 2 organizations
I20220330001853 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416192158 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Louisville Anesthesia Services, PLLCGroup PAC ID 2264410661, 10 clinicians
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

1025 New Moody LN
La Grange, KY 40031-9154
Phone (502) 222-5388

1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0152

Hospital & facility affiliations

  • Baptist Health Lagrange Hospital, La Grange, KY, CCN 180138
  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jan 13, 2025 Accepting new patients
Greater Louisville Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2021 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 29, 2025 Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Mar 15, 2022 Accepting new patients
Community Medical Associates, Inc. Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2025 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
CMH Physician Services, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 13, 2024 Accepting new patients
Norton - Kings Daughters Health Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2022 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
CMH Physician Services, LLC CurrentSince Aug 1, 2018 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Advanced Regional Surgery Center, LLC Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683

360 Missouri Ave
Bldg 19A
Jeffersonville, IN 47130

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

1169 Eastern Pkwy
Ste 400
Louisville, KY 40217
Phone (502) 276-5554

1951 Bishop Ln
Fl 4
Louisville, KY 40218
Phone (502) 272-5165

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

400 10th St E
Waconia, MN 55387

1755 N Mecklenburg Ave
South Hill, VA 23950
Phone (434) 584-5412

125 Buena Vista Cir
South Hill, VA 23970
Phone (434) 774-2400

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1295073781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093421",
            "telephone_number": "225-769-4403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1373 E State Road 62",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "IN",
            "postal_code": "472507328",
            "country_code": "US",
            "telephone_number": "812-801-0609",
            "fax_number": "812-801-0276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMEULEN",
        "first_name": "JUSTIN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3016642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300060135",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100788650",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.