Individual provider Active NPI

Ashley Nichole Arcane, CRNA

  • Certified Registered Nurse Anesthetist
  • La Porte, IN
National Provider Identifier
1992240022
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN.432914 Issued in OH
Practice address
1331 State St
La Porte, IN 46350-3112
Phone
(618) 616-5522
NPI assigned
Dec 28, 2016
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN.432914 OH Primary

Addresses

Primary practice location

1331 State St
La Porte, IN 46350-3112

Mailing address

1815 Silverlace CT
Mishawaka, IN 46545-8907
Phone (618) 616-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180321001085 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436426434 Reassigns benefits to 1 organization
I20201105001945 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436426434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Laporte PCGroup PAC ID 3779614508, 15 clinicians

Practice addresses (Care Compare)

1331 State St
La Porte, IN 46350-3112
Phone (219) 326-1234

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.432914OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Laporte PC CurrentSince Jan 23, 2024 Accepting new patients
Letitia Meglan Crna PC CurrentSince Nov 23, 2019 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 28, 2022 Accepting new patients
Lake George Surgery Center, LLC PastSince Aug 1, 2020 Accepting new patients

Locations

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

401 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-1100

102 E Culver Rd
Knox, IN 46534
Phone (574) 772-1580

207 N Townline Rd
Lagrange, IN 46761
Phone (260) 266-5300

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1482883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1992240022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SILVERLACE CT",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458907",
            "telephone_number": "618-616-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 STATE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503112",
            "telephone_number": "618-616-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCANE",
        "first_name": "ASHLEY",
        "middle_name": "NICHOLE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-28",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN.432914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.