Active NPI
Ai Lien Kowalski, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 403331-01
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01076180 | Other | KY | MEDICARE RAIL ROAD |
| 7100046960 | Other | KY | MEDICAID- NURSE PRACTITIONER PROVIDER NUMBER |
| 200955570 | Other | IN | MEDICAID |
| 000000774820 | Other | KY | ANTHEM |
| 50040406 | Other | KY | PASSPORT HEALTH PLAN |
| 7100215970 | Other | KY | MEDICAID- NURSE ANESTHETIST PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IL, FL, IN, WV, NY
Enrollment records 6
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1092643 | KY | MD | Registered Nurse |
| 403331-01 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jupiter Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Anesthesia Physician Solutions of North Florida, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Jupiter Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Physician Solutions of North Florida, LLC | Current | 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
- ai.lien.kowalski.1@11356.direct.athenahealth.com
- 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.
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
KY, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gainesville, FL
- NPI 1164932901
Nurse Anesthetist, Certified Registered
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Allergy & Immunology Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1700073848
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WV
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1629448071
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kissimmee, FL
- NPI 1902478431
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
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.