CHARLES DAVID LUMMUS CRNA
NPI 1124026000
Nurse Anesthetist, Certified Registered in Texarkana, TX

Q: What is Charles Lummus's NPI number?

The NPI number for Charles Lummus is 1124026000. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Charles Lummus's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Lummus was last updated on July 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2005Accepts Medicare Assignment

4100 SUMMERHILL RD, TEXARKANA, TX 75503(903) 735-9802(903) 735-9806 Get Directions Write a Review

NPPES record last updated: July 26, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles David Lummus Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DAVID LUMMUS CRNA (NPI 1124026000) is an individual nurse anesthetist, certified registered in Texarkana, Texas, licensed in Texas (244601) and active in the NPI registry since July 2005. He is a graduate of Other (1981).

NPPES Registry Identity

NPI1124026000

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameCHARLES DAVID LUMMUSCredential: CRNA

Location Address4100 SUMMERHILL RDTexarkana, TX 75503-2732

Mailing Address4100 Summerhill RdTexarkana, TX 75503-2732 · (903) 735-9802 · Fax (903) 735-9806

Phone(903) 735-9802

Fax(903) 735-9806

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateJuly 13, 2005

Last NPPES UpdateJuly 26, 2014

✔ NPI 1124026000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · 244601

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

4100 SUMMERHILL RD, Texarkana, TX 75503

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Other Identifiers 6

Other97890AR · Blue Cross

Medicaid133803701AR

Medicare ID-Type Unspecified430039499Railroad

Medicare ID-Type Unspecified81100HTX

Medicaid109671103TX

Other89557CTX · Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles David Lummus Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456534338

PECOS Enrollment IDI20110330000908

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRANDON WILEY C.R.N.A.