GANDOLFO LORE CRNA
NPI 1306244827
Nurse Anesthetist, Certified Registered in Ann Arbor, MI

Active since December 16, 2014Accepts Medicare Assignment
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gandolfo Lore Crna NPPES

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

GANDOLFO LORE CRNA (NPI 1306244827) is an individual nurse anesthetist, certified registered in Ann Arbor, Michigan, licensed in Michigan (4704276377) and active in the NPI registry since December 2014. He is affiliated with University Of Michigan Health System and is a graduate of Other (2014).

NPPES Registry Identity

NPI1306244827
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameGANDOLFO LORECredential: CRNA
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 16, 2014
Last NPPES UpdateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1306244827 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 MI · 4704276377
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.
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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

Gandolfo Lore 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 ID749505972
PECOS Enrollment IDI20150211000924

Medicare Billing Reassignments

5

Medicare enrollment records show Gandolfo Lore reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1003848144 (Michigan)
  • 277 clinicians in this Medicare group
Gastroenterology
5300 ELLIOTT DR
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 122 clinicians in this Medicare group
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 278 clinicians in this Medicare group
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 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.

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 x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
15 services14 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Pathology (Forensic Pathology)
1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pathology (Cytopathology)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pediatrics
1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109
Pediatrics (Pediatric Infectious Diseases)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Family Medicine (Hospice and Palliative Medicine)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

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 Gandolfo Lore's NPI number?

The NPI number for Gandolfo Lore is 1306244827. It was assigned to this individual provider in the NPPES registry on December 16, 2014.

Where is Gandolfo Lore located?

Gandolfo Lore practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Gandolfo Lore's specialty?

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

Is Gandolfo Lore enrolled in Medicare?

Yes. Gandolfo Lore 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 Gandolfo Lore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gandolfo Lore reassigns Medicare benefits to 5 organizations: Regents Of The University Of Michigan (Ann Arbor, MI), Huron Gastroenterology Associates PC (Ypsilanti, MI), Henry Ford Health Providence Hospital (Southfield, MI), William Beaumont Hospital (Royal Oak, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). 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 Gandolfo Lore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gandolfo Lore accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Gandolfo Lore 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 Gandolfo Lore affiliated with any hospitals?

According to CMS data, Gandolfo Lore is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Gandolfo Lore was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.