MR. LUCAS ALAN GRAVELYN CRNA
NPI 1528337375
Nurse Anesthetist, Certified Registered in Fort Wayne, IN
About Mr. Lucas Alan Gravelyn Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. LUCAS ALAN GRAVELYN CRNA (NPI 1528337375) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28270719A) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and maintains a secondary practice location in Kalamazoo.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Lucas Alan Gravelyn 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
8Medicare enrollment records show Lucas Gravelyn reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 138 clinicians in this Medicare group
Hillsdale, MI 49242
- Reassigned Medicare billing, Michigan enrollment
- 29 clinicians in this Medicare group
Okemos, MI 48864
- Reassigned Medicare billing, Michigan enrollment
- 90 clinicians in this Medicare group
Rochester, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 359 clinicians in this Medicare group
Flint, MI 48507
- Reassigned Medicare billing, Michigan enrollment
- 246 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 149 clinicians in this Medicare group
Marion, IL 62959
- Reassigned Medicare billing, Illinois enrollment
- 31 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 283 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46804 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 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Lucas Gravelyn's NPI number?
The NPI number for Lucas Gravelyn is 1528337375. It was assigned to this individual provider in the NPPES registry on December 23, 2011.
Where is Lucas Gravelyn located?
Lucas Gravelyn practices at 6435 W Jefferson Blvd # 434, Fort Wayne, IN 46804. The listed phone number is (260) 436-7875.
What is Lucas Gravelyn's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lucas Gravelyn enrolled in Medicare?
Yes. Lucas Gravelyn 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 Lucas Gravelyn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lucas Gravelyn reassigns Medicare benefits to 8 organizations: Associated Anesthesiologists Of Fort Wayne PC (Fort Wayne, IN), Challenge Anesthesia Staffing LLC (Hillsdale, MI), Capital Area Anesthesia PC (Okemos, MI), Asa Staffing Inc (Rochester, MI), Jawad A Shah, MD PC (Flint, MI) and 3 more organizations, listed in the Medicare section above. 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 Lucas Gravelyn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lucas Gravelyn accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Lucas Gravelyn 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 Lucas Gravelyn affiliated with any hospitals?
According to CMS data, Lucas Gravelyn is affiliated with Lutheran Hospital Of Indiana.
When was this NPI record last updated?
The NPPES record for Lucas Gravelyn was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. Lucas Alan Gravelyn, CRNA · NPI 1528337375
Nurse Anesthetist, Certified Registered physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since December 23, 2011.
## Identity
- **NPI:** 1528337375 (Entity type: Individual)
- **Enumerated:** December 23, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28270719A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6435 W JEFFERSON BLVD # 434, Fort Wayne, IN 46804-6203
- **Phone:** (260) 436-7875 · **Fax:** (260) 432-9812
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Associated Anesthesiologists Of Fort Wayne PC (NPI 1538159140, Fort Wayne, IN); Challenge Anesthesia Staffing LLC (NPI 1275302051, Hillsdale, MI); Capital Area Anesthesia PC (NPI 1538105010, Okemos, MI); Asa Staffing Inc (NPI 1114378981, Rochester, MI); Jawad A Shah, MD PC (NPI 1942402391, Flint, MI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** November 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528337375) · Data from the CMS NPPES public registry.