Active NPI
Michael L Lovell, CRNA
- Certified Registered Nurse Anesthetist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1071110
- Practice address
- 1125 Professional Blvd
Evansville, IN 47714-8001 - Phone
- (812) 475-1000
- Fax
- (812) 475-1001
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 1071110 | KY | Primary |
Addresses
Primary practice location
1125 Professional Blvd
Evansville, IN 47714-8001
Mailing address
1125 Professional Blvd
Evansville, IN 47714-8001
Phone (812) 475-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300021964 | Medicaid | IN | |
| 74027814 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 65.57 of 100
- Quality
- 59.49
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071110 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Apollo Medical Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Daviess County Hospital | Current | Accepting new patients | |
| PLJ Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1276 N Plaza Dr
Rockport, IN 47635
Phone (812) 649-2500
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Rockport, IN
- NPI 1396179461
Nurse Anesthetist, Certified Registered
-
dba Advanced Orthopedics
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1124231493
-
dba Daviess Community Hospital Montgomery Medical Clinic
- Rural Health Clinic/Center
- Montgomery, IN
- NPI 1336959279
-
dba DCH Provider Services
- Family Medicine Physician
- Washington, IN
- NPI 1679921035
-
- Certified Registered Nurse Anesthetist
- Russellville, KY
- NPI 1861485674
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1932173606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148001",
"telephone_number": "812-475-1000",
"fax_number": "812-475-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 PROFESSIONAL BLVD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148001",
"telephone_number": "812-475-1000",
"fax_number": "812-475-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELL",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1071110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300021964",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74027814",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.