LEE TODD HAMMON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073745980

LEE TODD HAMMON (CRNA) is a healthcare provider. based in Lowell, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R37979 (AR). The NPI Number for LEE TODD HAMMON (CRNA) is 1073745980

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
LEE TODD HAMMON (CRNA)
NPI
1073745980
Phone
(913) 381-5200
Address
PO BOX 507
Enumeration Date
12 August 2009
Last Update Date
14 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734711600
Graduation Year
2009 (17 years ago)
PAC ID
9638215908
Group Practice PAC ID
1355252891
Professional Enrollment ID
I20111019000896
Address ID
MO638015044SI1008XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

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Provider Addresses for LEE TODD HAMMON (CRNA)

  • 507, North Wharton Road, Lowell, Benton County, Arkansas, 72745, United States

    LOWELL, AR 727450507

    Phone: (913) 381-5200

    Fax: (913) 381-0979

    Type: Mailing

  • Mercy Hospital, 2710, Rife Medical Lane, Rogers, Benton County, Arkansas, 72758, United States

    ROGERS, AR 727581452

    Phone: (913) 381-5200

    Fax: (913) 381-0979

    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: 2011-10-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090930000576ICertified Registered Nurse Anesthetist (Crna)ARTBD
I20111019000896ICertified Registered Nurse Anesthetist (Crna)MOTBD

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.

Verify on CMS Revalidation Lookup Tool

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 72745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355252891View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Nurse PractitionerMO
Physician AssistantMO
Nurse PractitionerMO
Nurse PractitionerMO
Endocrinology, Internal MedicineMO
Family PracticeMO
General SurgeryMO
-MO

Reviews

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Frequently asked questions

What NPI should I save for LEE TODD HAMMON (CRNA)?
Save NPI 1073745980 if you need a stable reference for LEE TODD HAMMON (CRNA).
Does this profile mean LEE TODD HAMMON (CRNA) is currently active?
Yes — LEE TODD HAMMON (CRNA) appears active in the national provider directory.
Can you summarize LEE TODD HAMMON (CRNA)'s specialty in plain language?
Clinically, the directory lists LEE TODD HAMMON (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for LEE TODD HAMMON (CRNA)?
We surface Lowell, Arkansas for LEE TODD HAMMON (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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