KATHERINE LAVILLA VITAL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1396104246

KATHERINE LAVILLA VITAL (CRNA) is a healthcare provider. based in Maitland, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP9228533 (FL). The NPI Number for KATHERINE LAVILLA VITAL (CRNA) is 1396104246

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE LAVILLA VITAL (CRNA)
NPI
1396104246
Phone
(407) 647-4085
Address
851 Trafalgar Ct Ste 300W
Enumeration Date
22 February 2016
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2015 (11 years ago)
PAC ID
8123314069
Group Practice PAC ID
7416928536
Professional Enrollment ID
I20160901001303
Address ID
FL347696006SA2906XSTXX300

Contacts

Secure Messaging
klavilla141435@MHSDIRECT.NET
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KATHERINE LAVILLA VITAL (CRNA)

  • 851 Trafalgar Ct Ste 300W

    Maitland, FL 327517425

    Phone: (407) 647-4085

    Type: Location

  • 2708 TIMBERGROVE ST

    SAINT CLOUD, FL 347719318

    Phone: (305) 761-8078

    Type: Mailing

  • Sunrise, Harrison County, Kentucky, United States

    BUILDING C SUITE 200

    SUNRISE, FL 333232896

    Phone: (954) 838-2371

    Type: Location

  • 890, Northeast 147th Street, Shady Oaks Trailer Park, North Miami, Miami-Dade County, Florida, 33161, United States

    NORTH MIAMI, FL 331612345

    Phone: (305) 947-8769

    Type: Mailing

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: 2016-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160901001303ICertified Registered Nurse Anesthetist (Crna)FLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery3934$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2221$0
00813Anesthesia for procedure on small and large bowel using an endoscope1919$0
00812Anesthesia for exam of colon using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

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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: 7416928536View full group profile
NameSpecialtyState
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YND
A N E S T H E S I O L O G YTX
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

How is KATHERINE LAVILLA VITAL (CRNA) identified in CMS data?
CMS-hosted NPPES data lists KATHERINE LAVILLA VITAL (CRNA) with NPI 1396104246.
Is KATHERINE LAVILLA VITAL (CRNA) still practicing?
KATHERINE LAVILLA VITAL (CRNA) is currently listed as active in the public NPI registry.
What healthcare role does KATHERINE LAVILLA VITAL (CRNA) hold?
Scheduling teams often label KATHERINE LAVILLA VITAL (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does KATHERINE LAVILLA VITAL (CRNA) serve?
KATHERINE LAVILLA VITAL (CRNA)'s listing highlights Maitland, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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