Individual provider Active NPI

Ai Lien Kowalski, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1598833493
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
403331-01 Issued in NY
Practice address
100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194
Phone
(502) 690-8782
Fax
(502) 459-0923
NPI assigned
Dec 1, 2006
Last updated
Sep 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3005008 KY
Certified Registered Nurse Anesthetist 367500000X 3005008 KY
Certified Registered Nurse Anesthetist 367500000X 403331-01 NY Primary
Registered Nurse 163W00000X 1092643 KY

Addresses

Primary practice location

100 Mallard Creek Rd
Suite 320
Louisville, KY 40207-4194

Mailing address

11438 Freshwater Ridge Dr
Riverview, FL 33569-2060
Phone (502) 424-3867

Other identifiers 6

IdentifierTypeStateIssuer
P01076180OtherKYMEDICARE RAIL ROAD
7100046960OtherKYMEDICAID- NURSE PRACTITIONER PROVIDER NUMBER
200955570OtherINMEDICAID
000000774820OtherKYANTHEM
50040406OtherKYPASSPORT HEALTH PLAN
7100215970OtherKYMEDICAID- NURSE ANESTHETIST PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL, FL, IN, WV, NY6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20130222000531 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557467909 Reassigns benefits to 1 organization
I20140922000789 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557467909 Reassigns benefits to 2 organizations
I20150623001308 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557467909 Reassigns benefits to 3 organizations
I20161107002213 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557467909 Reassigns benefits to 1 organization
I20161213000617 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557467909 Reassigns benefits to 1 organization
I20190426002133 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557467909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1092643KYMDRegistered Nurse
403331-01NYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 12, 2023 Accepting new patients
Sheridan Healthcorp, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 8, 2015 Accepting new patients
Anesthesia Group Practice, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2020 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Sep 8, 2015 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2015 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Aug 22, 2021 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Apr 15, 2024 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2016 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Nov 10, 2015 Accepting new patients
Anesthesia Associates of Louisville, PSC Past Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients
The Little Clinic of Indiana LLC Past Accepting new patients

Locations (25 of 26)

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

1421 N 7th St
Terre Haute, IN 47807
Phone (812) 231-4604

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

7 Southwoods Blvd
Ste 4
Albany, NY 12211

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: ai.lien.kowalski.1@11356.direct.athenahealth.com
  • Direct secure messaging: kowalska@yourcarecommunity.org

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1598833493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11438 FRESHWATER RIDGE DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692060",
            "telephone_number": "502-424-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD",
            "address_2": "SUITE 320",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074194",
            "telephone_number": "502-690-8782",
            "fax_number": "502-459-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "AI LIEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3005008",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005008",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "403331-01",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1092643",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P01076180",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NURSE PRACTITIONER PROVIDER NUMBER",
            "identifier": "7100046960",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "200955570",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000774820",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50040406",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID- NURSE ANESTHETIST PROVIDER NUMBER",
            "identifier": "7100215970",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.