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JAMES A. LOWER CRNA
NPI 1396481446
Nurse Anesthetist, Certified Registered in Galion, OH

Active since May 11, 2022Accepts Medicare Assignment
73.97/100
CMS Quality Rating
269 PORTLAND WAY S, GALION, OH 44833(419) 468-4841(419) 468-2381 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2024, May 11, 2022 (2 updates tracked since 2022).

About James A. Lower Crna NPPES

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

JAMES A. LOWER CRNA (NPI 1396481446) is an individual nurse anesthetist, certified registered in Galion, Ohio, licensed in Ohio (APRN.CRNA.0020523) and active in the NPI registry since May 2022. He is affiliated with Adena Regional Medical Center, maintains a secondary practice location in Chillicothe, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1396481446
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJAMES A. LOWERCredential: CRNA
Location Address269 PORTLAND WAY SGalion, OH 44833-2312
Mailing Address700 N Columbus StCrestline, OH 44827-1455 · (419) 462-3485 · Fax (419) 462-4582
Phone(419) 468-4841
Fax(419) 468-2381
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2022
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1396481446 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 OH · APRN.CRNA.0020523
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.
269 PORTLAND WAY S, Galion, OH 44833
Open in Google Maps ↗

Secondary Practice Location 1

Location 1272 Hospital RdChillicothe, OH 45601-9031 · Phone (740) 779-7540

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

James A. Lower 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 ID7012395627
PECOS Enrollment IDI20220609001093

Medicare Billing Reassignments

3

Medicare enrollment records show James Lower reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vituity-Ohio Anesthesia Inc
45 mi
Anesthesiology
4105 EMERALD PKWY
Dublin, OH 43016
  • Reassigned Medicare billing, Ohio enrollment
  • 37 clinicians in this Medicare group
NPI 1912705963 (380) 898-9000
Premier Anesthesia Of Ohio LLC
62 mi
Anesthesiology
5300 N MEADOWS DR
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio enrollment
  • 280 clinicians in this Medicare group
NPI 1699196022 (614) 663-5000
Adena Medical Group LLC
93 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500

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 3

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 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.
31 services31 patients
Anesthesia for insertion of permanent heart pacemaker 00530
Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.
11 services11 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44833 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

73.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.9
Promoting Interoperability99
Improvement Activities40
Cost39.16

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.

MADELYN MARIE STRICKLING D.O.
Pediatrics
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (419) 468-4841
MR. MATTHEW JOHN SICKMILLER CRNA
Nurse Anesthetist, Certified Registered
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (419) 468-4841
HALEY DANIELLE KAMENIK PA-C
Physician Assistant
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (419) 468-4841
MR. JOSHUA DANIEL GRUND NP-C
Nurse Practitioner (Family)
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (419) 468-0733
MIRIAM ROGGIO APRN, CNP
Nurse Practitioner (Family)
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (419) 462-3470
MRS. AMANDA WIDMAN M.S. CCC-SLP
Speech-Language Pathologist
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (419) 468-0570
MRS. MADELINE CLARE ELLIS M.A. CCC-SLP
Speech-Language Pathologist
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (419) 468-0547
ERICA LYNN CLINKER NURSE PRACTITIONER
Nurse Practitioner
269 PORTLAND WAY S
GALION, OH 44833
Crawford County (567) 204-9459

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 James Lower's NPI number?

The NPI number for James Lower is 1396481446. It was assigned to this individual provider in the NPPES registry on May 11, 2022.

Where is James Lower located?

James Lower practices at 269 Portland Way S, Galion, OH 44833. The listed phone number is (419) 468-4841.

What is James Lower's specialty?

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

Is James Lower enrolled in Medicare?

Yes. James Lower 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 James Lower's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lower reassigns Medicare benefits to 3 organizations: Vituity-Ohio Anesthesia Inc (Dublin, OH), Premier Anesthesia Of Ohio LLC (Grove City, OH) and Adena Medical Group LLC (Chillicothe, OH). 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 James Lower's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lower accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list James Lower 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 James Lower affiliated with any hospitals?

According to CMS data, James Lower is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Lower was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.