Lucas Gravelyn, CRNA
NPI 1528337375 · Certified Registered Nurse Anesthetist · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lucas Gravelyn, CRNA is a Certified Registered Nurse Anesthetist provider in Fort Wayne, IN (NPI 1528337375).
Provider details
- NPI number
- 1528337375
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 28270719A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 900 Peeler StKalamazoo, MI 49008-2300Phone: (269) 345-8618Fax: (269) 345-1508
Registry dates
- Enumerated
- 2011-12-23
- Last updated
- 2025-11-03
- Certified
- 2025-11-03
Frequently asked questions
- What is Lucas Gravelyn's NPI number?
- Lucas Gravelyn's National Provider Identifier (NPI) is 1528337375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lucas Gravelyn's specialty?
- Lucas Gravelyn is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lucas Gravelyn located?
- Lucas Gravelyn's practice location on file with NPPES is 6435 W Jefferson Blvd # 434, Fort Wayne, IN 46804-6203.
- What is Lucas Gravelyn's phone number?
- The practice phone number listed in the NPPES registry for Lucas Gravelyn is (260) 436-7875.
- Does Lucas Gravelyn accept Medicare?
- Lucas Gravelyn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lucas Gravelyn's NPI active?
- Yes — Lucas Gravelyn's NPI (1528337375) is active in the NPPES registry as of the last update on 2025-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.