LESA RICE TILLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1073582763
Certified Registered Nurse Anesthetist
Main info
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Profile Insights
NPPES metrics only — not quality of care.
710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN
Provider Addresses for LESA RICE TILLEY (CRNA)
5165 McCarty Ln
Lafayette, IN 479058764
Phone: (765) 448-8000
Fax: (765) 838-4758
Type: Location
403 MAGAZINE CT
BOSSIER CITY, LA 711116263
Phone: (228) 365-7568
Type: Location
416 BRIDGEWATER CIR
BENTON, LA 710068807
Phone: (318) 525-8688
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: 2024-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091123000203 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20151202002488 | I | Certified Registered Nurse Anesthetist (Crna) | LA | TBD |
| I20240404000642 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00670 | Anesthesia for extensive surgery on spine | 17 | 17 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 16 | 16 | $0 |
| 00840 | Anesthesia for other procedure on lower abdomen | 13 | 13 | $0 |
Insurance plans in this area (ZIP 47905)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | LA | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | KY | |
| Physician Assistant | IN | |
| Physician Assistant | MI | |
| Internal Medicine | IN | |
| Anesthesiology, Pain Management | TN | |
| Internal Medicine, Hospitalist | IN | |
| U R O L O G Y | NC | |
| Nurse Practitioner | IN |
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