LARRY D JR. STEPHENS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1932189628

LARRY D JR. STEPHENS (CRNA) is a healthcare provider. based in Quincy, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209021351 (IL). The NPI Number for LARRY D JR. STEPHENS (CRNA) is 1932189628

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
LARRY D JR. STEPHENS (CRNA)
NPI
1932189628
Phone
(217) 222-6550
Address
3301 Broadway St
Enumeration Date
19 January 2006
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4698639978
Graduation Year
1997 (29 years ago)
PAC ID
5890771281
Group Practice PAC ID
9638429178
Professional Enrollment ID
I20190708000407
Address ID
MO631312930FR10435RDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for LARRY D JR. STEPHENS (CRNA)

  • 3301 Broadway St

    Quincy, IL 623013713

    Phone: (217) 222-6550

    Type: Location

  • 1053, River Oaks Drive, Wells, Flowood, Rankin County, Mississippi, 39232, United States

    FLOWOOD, MS 392329595

    Phone: (601) 969-1430

    Fax: (601) 709-2117

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $839.

Total Amount is formed as General ($839) + Research ($0) + Ownership ($0) = $839.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($389).

Total Amount

$839

General + Research + Ownership

Payments

51

Total payment records

General Amount

$839

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-08

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
I20190708000407ICertified 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope7070$0
00812Anesthesia for exam of colon using an endoscope6868$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3838$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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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: 9638429178View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YMS
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMD
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

Is there an official ID for LARRY D JR. STEPHENS (CRNA) in U.S. healthcare records?
The official identifier for LARRY D JR. STEPHENS (CRNA) is NPI 1932189628.
Active or inactive — what applies to LARRY D JR. STEPHENS (CRNA)?
You should see LARRY D JR. STEPHENS (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is LARRY D JR. STEPHENS (CRNA)?
LARRY D JR. STEPHENS (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is LARRY D JR. STEPHENS (CRNA) located near Quincy?
LARRY D JR. STEPHENS (CRNA) currently maps to Quincy, Illinois in this extract.
Does LARRY D JR. STEPHENS (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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