Angela Greenwell, RN, MSNA, CCRN, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Louisville, KY

NPI 1801035522 · NPPES record last updated Apr 28, 2018

Key facts

NPI
1801035522
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
5931A (KY)
Practice address
530 S Jackson St
Louisville, KY 40202-1675
Phone
(502) 644-5406
NPI assigned
Feb 19, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Anesthesia, PSC (181 clinicians)

Practice addresses (Care Compare)

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 252-6612

Hospital & facility affiliations

  • CHI Saint Joseph Flaget Memorial Hospital Hospital · Bardstown, KY · CCN 180025

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KY, IN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090423000365 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527116961 Reassigns benefits to 5 organizations
I20211109000820 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527116961 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5931AKYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
John Kenyon American Eye Institute LLC Current
since Oct 14, 2021
Accepting new patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered Current
since Nov 1, 2022
Accepting new patients
Northstar Anesthesia of Kentucky, PLLC Nurse Anesthetist, Certified Registered Current
since Jun 22, 2021
Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered Current
since Dec 1, 2021
Accepting new patients
Eye Surgery Center of New Albany, LLC Current Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered Current
since Mar 7, 2016
Accepting new patients
Eye Surgery Center of New Albany, LLC Nurse Anesthetist, Certified Registered Current
since Sep 8, 2021
Accepting new patients
University Anesthesiology Associates PSC Past Accepting new patients

Locations

520 W 1st St
New Albany, IN 47150
Phone (812) 949-3442

4305 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 350-5000

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

2000 Tunnel Hill Rd
Elizabethtown, KY 42701
Phone (270) 304-2520

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

320 N Loretto Rd
Lebanon, KY 40033
Phone (270) 692-3161

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

2115 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 276-2520

3480 Yorkshire Medical Park
#100
Lexington, KY 40509
Phone (859) 514-0260

3475 Blazer Pkwy
Lexington, KY 40509
Phone (859) 514-0260

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

225 Falcon Dr
Mt Sterling, KY 40353
Phone (859) 497-5000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 5931A KY Yes

Addresses

Primary practice location

530 S Jackson St
Louisville, KY 40202-1675

Mailing address

1003 Ethen Alan Dr
Bardstown, KY 40004-9047
Phone (502) 644-5406

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2018.

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524873600000",
    "number": "1801035522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 ETHEN ALAN DR",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400049047",
            "telephone_number": "502-644-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S JACKSON ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021675",
            "telephone_number": "502-644-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "ANGELA",
        "credential": "RN, MSNA, CCRN, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-19",
        "last_updated": "2018-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "5931A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky

Sources for this page

Verify at the official NPI Registry.