Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gabriel Lewis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093316176

Gabriel Lewis is a Certified Registered Nurse Anesthetist (CRNA) in Elkhart, Indiana. Qualified in 2020, 6 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

600 E Blvd
Elkhart, IN 46514-2483
Phone: (574) 294-2621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 131055 (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 28262442A (IN)

Record details

NPI number1093316176
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020
Mailing address2508 Prairie Moss Dr, Bossier City, LA 71111-6736

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elkhart