DOROTHY LEE SUMMERLIN- GRADY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336192376
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN
Provider Addresses for DOROTHY LEE SUMMERLIN- GRADY (CRNA)
250 E Day Rd Ste 300
Mishawaka, IN 465453471
Phone: (574) 968-0283
Fax: (574) 855-5699
Type: Location
5955, Claybourne Drive, Bargersville, Johnson County, Indiana, 46106, United States
BARGERSVILLE, IN 461068391
Phone: (317) 966-5576
Type: Mailing
8051 S EMERSON AVE STE 150
INDIANAPOLIS, IN 462378635
Phone: (317) 865-2955
Fax: (317) 865-2954
Type: Location
Mercy Health – Fairfield Hospital, 3000, Mack Road, Fairfield, Butler County, Ohio, 45014, United States
FAIRFIELD, OH 450145335
Phone: (513) 672-3309
Fax: (513) 672-3323
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040917000249 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20150526002369 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46545)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| A N E S T H E S I O L O G Y | CO | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
Reviews
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