MRS. LYNSEY MARIE BAGOS – Certified Registered Nurse Anesthetist, NPI 1164736419

MRS. LYNSEY MARIE BAGOS is a healthcare provider. based in Clinton twp, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704250789 (MI). The NPI Number for MRS. LYNSEY MARIE BAGOS is 1164736419

Main info

Female
16 Years Of Experience
Name
MRS. LYNSEY MARIE BAGOS
NPI
1164736419
Phone
(248) 860-3501
Address
42180 TODDMARK LN APT 12
Enumeration Date
28 July 2010
Last Update Date
6 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482654600
Graduation Year
2010 (16 years ago)
PAC ID
8325234784
Group Practice PAC ID
7113818980
Professional Enrollment ID
I20101124000271
Address ID
MI480986334TR4550XDRXX340
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

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

Provider Addresses for MRS. LYNSEY MARIE BAGOS

  • 42180 TODDMARK LN APT 12

    CLINTON TWP, MI 480385491

    Phone: (248) 860-3501

    Type: Mailing

  • 1101 W UNIVERSITY DR

    ROCHESTER, MI 483071863

    Phone: (248) 652-5354

    Fax: (248) 652-5861

    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: 2010-11-24

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
I20101124000271ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48038)

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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: 7113818980View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Does MRS. LYNSEY MARIE BAGOS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. LYNSEY MARIE BAGOS uses 1164736419.
Is MRS. LYNSEY MARIE BAGOS still practicing?
MRS. LYNSEY MARIE BAGOS is currently listed as active in the public NPI registry.
What healthcare role does MRS. LYNSEY MARIE BAGOS hold?
Scheduling teams often label MRS. LYNSEY MARIE BAGOS under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. LYNSEY MARIE BAGOS on a map?
Expect Clinton Twp, Michigan as a primary anchor for MRS. LYNSEY MARIE BAGOS unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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