MR. LUCAS ALAN GRAVELYN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1528337375
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI
Provider Addresses for MR. LUCAS ALAN GRAVELYN (CRNA)
351 HORSESHOE CT
PLAINWELL, MI 490809147
Phone: (616) 304-1424
Type: Mailing
900 PEELER ST
KALAMAZOO, MI 490082300
Phone: (269) 345-8618
Fax: (269) 345-1508
Type: Location
PO BOX 843603
DALLAS, TX 752840001
Phone: (972) 233-1999
Fax: (972) 233-3666
Type: Mailing
6435 W JEFFERSON BLVD # 434
FORT WAYNE, IN 468046203
Phone: (260) 436-7875
Fax: (260) 432-9812
Type: Location
900 Peeler St
Kalamazoo, MI 490082300
Phone: (269) 345-8618
Fax: (269) 345-1508
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: 2025-11-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20120210000805 | I | Certified Registered Nurse Anesthetist (Crna) | MI | TBD |
| I20251008001182 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
| I20251129000402 | I | Certified Registered Nurse Anesthetist (Crna) | IN | 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 49080)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| General Surgery | TX | |
| Nurse Practitioner | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Interventional Radiology, Vascular Surgery | CT | |
| Clinical Psychologist | MI | |
| Diagnostic Radiology | FL | |
| Nurse Practitioner | MI |
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