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
Hospital & facility affiliations 1
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
Practice addresses (Care Compare)
310 S Limestone
Lexington, KY 40508-3008
Phone (859) 252-6612
Hospital & facility affiliations
- CHI Saint Joseph Flaget Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5931A | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Kenyon American Eye Institute LLC | Current |
Accepting new patients | |
| Commonwealth Anesthesia, PSC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia of Kentucky, PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Eye Surgery Center of New Albany, LLC | Current | Accepting new patients | |
| Kentucky Anesthesia Group, PSC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Eye Surgery Center of New Albany, LLC | Nurse Anesthetist, Certified Registered | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Yolonda C.M Greenfield
- Greenlight4U LLC
- Greenwell Chiropractic Inc
- Greenwell Family Dentistry, PSC
- Amber Greenwell
- Ann Lake Greenwell
- Constance S Greenwell
- Dana M Greenwell
- Darren Scott Greenwell
- Derrick Greenwell
All providers in Louisville, KY · Certified Registered Nurse Anesthetist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.