Active NPI
Justin M Vermeulen, CRNA
- Certified Registered Nurse Anesthetist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3016642
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300060135 | Medicaid | IN | |
| 7100788650 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, KY, IN
Enrollment records 3
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
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
- Norton-King'S Daughters' Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.09 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Greater Louisville Anesthesia Services, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Nurse Anesthetist, Certified Registered | Current | 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 | Current | Accepting new patients |
| Norton - Kings Daughters Health Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| CMH Physician Services, LLC | Current | 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.
-
- Anesthesiology Physician
- Lagrange, KY
- NPI 1326126681
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Jeffersonville, IN
- NPI 1104102268
KY, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
Nurse Anesthetist, Certified Registered
-
- Hospitalist Physician
- South Hill, VA
- NPI 1386028793
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1194451179
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1649720244
-
- Ambulatory Surgical Clinic/Center
- Jeffersonville, IN
- NPI 1710231642
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Grange, KY
- NPI 1306925540
-
- General Acute Care Hospital
- Madison, IN
- NPI 1518916048
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.