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

Mr. Lucas Alan Gravelyn, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1528337375

Mr. Lucas Alan Gravelyn, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2011, 15 years ago. Practices with Marion Anesthesia Company LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
15
Licensed in
IN, MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Phone: (260) 436-7875
Fax: (260) 432-9812
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 Peeler St, Kalamazoo, MI 49008-2300 — (269) 345-8618

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28270719A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 4704255424 (MI)

Record details

NPI number1528337375
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 23, 2011
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Marion Anesthesia Company Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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