KEVIN A LEWELLEN CRNA
NPI 1124047949
Nurse Anesthetist, Certified Registered in Fort Defiance, AZ
About Kevin A Lewellen Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN A LEWELLEN CRNA (NPI 1124047949) is an individual nurse anesthetist, certified registered in Fort Defiance, Arizona, licensed in Arizona (330490) and active in the NPI registry since July 2006. He is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kevin A Lewellen 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kevin Lewellen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Defiance, AZ 86504
- Reassigned Medicare billing, Texas enrollment
- 518 clinicians in this Medicare group
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Genesis Anesthesia Services, PLLC
- 17 clinicians in this Medicare group
Mcminnville, TN 37110
- Reassigned Medicare billing, Tennessee enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT DEFIANCE, AZ 86504
FORT DEFIANCE, AZ 86504
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kevin Lewellen's NPI number?
The NPI number for Kevin Lewellen is 1124047949. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Kevin Lewellen located?
Kevin Lewellen practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.
What is Kevin Lewellen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kevin Lewellen enrolled in Medicare?
Yes. Kevin Lewellen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kevin Lewellen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Lewellen reassigns Medicare benefits to 3 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ), Nashville Vascular And Vein Institute, PLLC (Nashville, TN) and Northstar Anesthesia Of Tennessee, PLLC (Mcminnville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Lewellen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kevin Lewellen accept?
Health plans from Blue Cross Blue Shield of Arizona list Kevin Lewellen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kevin Lewellen was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Kevin A Lewellen, CRNA · NPI 1124047949
Nurse Anesthetist, Certified Registered physician in Fort Defiance, Arizona. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1124047949 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 330490 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504
- **Phone:** (928) 729-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Fort Defiance Indian Hospital Board, Incorporation (NPI 1477876639, Fort Defiance, AZ); Nashville Vascular And Vein Institute, PLLC (NPI 1730501677, Nashville, TN); Northstar Anesthesia Of Tennessee, PLLC (NPI 1821390451, Mcminnville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1995
## Record status
- **NPPES last updated:** June 22, 2026
- **Other identifiers:** Medicaid 3626474 (TN); Other 4024090 (TN); Other 430066708 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124047949) · Data from the CMS NPPES public registry.