ALICIA ANN INGRAM CRNA
NPI 1306176805
Nurse Anesthetist, Certified Registered in Louisville, KY

Active since January 05, 2010Accepts Medicare Assignment
77.27/100
CMS Quality Rating
100 MALLARD CREEK RD, SUITE 320, LOUISVILLE, KY 40207(502) 690-8782(502) 459-0923 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alicia Ann Ingram Crna NPPES

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

ALICIA ANN INGRAM CRNA (NPI 1306176805) is an individual nurse anesthetist, certified registered in Louisville, Kentucky, licensed in Kentucky (1106765) and active in the NPI registry since January 2010. She is affiliated with Baptist Health Lagrange, maintains a secondary practice location in Madison, and is a graduate of University Of Cincinnati College Of Medicine (2009).

NPPES Registry Identity

NPI1306176805
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICIA ANN INGRAMCredential: CRNA
Location Address100 MALLARD CREEK RD, SUITE 320Louisville, KY 40207-4194
Mailing Address100 Mallard Creek Rd, Suite 320Louisville, KY 40207-4194 · (502) 690-8782 · Fax (502) 459-0923
Fax(502) 459-0923
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2009
Enumeration DateJanuary 5, 2010
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
NPI 1306176805 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 KY · 1106765
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.

100 MALLARD CREEK RD, Louisville, KY 40207

Other Names 1

Former Name (1)Alicia Ann Lewis Rn

Secondary Practice Location 1

Location 11373 E State Road 62Madison, IN 47250-7328 · Phone (812) 801-0609

Other Identifiers 4

Other48489KY · Crna
OtherRN335792OH · Ohio Rn License
Medicaid200991930IN
Medicaid7100129890KY

Accepted 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

Alicia Ann Ingram 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 ID7911030184
PECOS Enrollment IDI20100809000918

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
19 services19 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.84
Improvement Activities40
Cost64.87

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.

Family Medicine
100 MALLARD CREEK RD
LOUISVILLE, KY 40207
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 390
LOUISVILLE, KY 40207
Internal Medicine
100 MALLARD CREEK RD, STE. 320
LOUISVILLE, KY 40207
Anesthesiologist Assistant
100 MALLARD CREEK RD
LOUISVILLE, KY 40207
Anesthesiology
100 MALLARD CREEK RD, SUITE 320
LOUISVILLE, KY 40207
Internal Medicine
100 MALLARD CREEK RD, STE.320
LOUISVILLE, KY 40207
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 150
LOUISVILLE, KY 40207
Internal Medicine (Cardiovascular Disease)
100 MALLARD CREEK RD, SUITE 150
LOUISVILLE, KY 40207

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 Alicia Ingram's NPI number?

The NPI number for Alicia Ingram is 1306176805. It was assigned to this individual provider in the NPPES registry on January 5, 2010. The provider is also known as Alicia Ann Lewis Rn.

Where is Alicia Ingram located?

Alicia Ingram practices at 100 Mallard Creek Rd Suite 320, Louisville, KY 40207. The listed phone number is (502) 690-8782.

What is Alicia Ingram's specialty?

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

Is Alicia Ingram enrolled in Medicare?

Yes. Alicia Ingram 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.

What insurance does Alicia Ingram accept?

Health plans from CareSource list Alicia Ingram 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.

Is Alicia Ingram affiliated with any hospitals?

According to CMS data, Alicia Ingram is affiliated with Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Alicia Ingram was last updated on July 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.