PHILIP ROSS LEPINE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023536190

PHILIP ROSS LEPINE (CRNA) is a healthcare provider. based in Marysville, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704270813 (MI). The NPI Number for PHILIP ROSS LEPINE (CRNA) is 1023536190

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP ROSS LEPINE (CRNA)
NPI
1023536190
Phone
(810) 531-4964
Address
911 Georgia Ave
Enumeration Date
8 September 2017
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
8102164300
Graduation Year
2017 (9 years ago)
PAC ID
4082989728
Group Practice PAC ID
6709321268
Professional Enrollment ID
I20171006000531
Address ID
MI480593882FO4190XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for PHILIP ROSS LEPINE (CRNA)

  • 911 Georgia Ave

    Marysville, MI 480401277

    Phone: (810) 531-4964

    Type: Location

  • 911, Georgia Avenue, Marysville, Saint Clair County, Michigan, 48040, United States

    MARYSVILLE, MI 480401277

    Phone:

    Type: Mailing

  • McLaren Port Huron, 1221, Pine Grove Avenue, Port Huron, Saint Clair County, Michigan, 48060, United States

    PORT HURON, MI 480603511

    Phone: (810) 987-5000

    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: 2017-10-06

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
I20171006000531ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 48040)

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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: 6709321268View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Can I cross-check PHILIP ROSS LEPINE (CRNA) using NPI 1023536190?
NPI 1023536190 belongs to PHILIP ROSS LEPINE (CRNA); compare other details if you need extra assurance.
Active or inactive — what applies to PHILIP ROSS LEPINE (CRNA)?
You should see PHILIP ROSS LEPINE (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is PHILIP ROSS LEPINE (CRNA)?
PHILIP ROSS LEPINE (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is PHILIP ROSS LEPINE (CRNA) registered?
Use Marysville, Michigan as the headline location for PHILIP ROSS LEPINE (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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