MRS. LEIGHANN L NUNNALLY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1801105630

MRS. LEIGHANN L NUNNALLY (CRNA) is a healthcare provider. based in Saint clair, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704234857 (MI). The NPI Number for MRS. LEIGHANN L NUNNALLY (CRNA) is 1801105630

Main info

Female
16 Years Of Experience
Name
MRS. LEIGHANN L NUNNALLY (CRNA)
NPI
1801105630
Phone
(810) 650-6465
Address
1008 CLINTON AVE
Enumeration Date
28 September 2010
Last Update Date
13 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2146870001
Graduation Year
2010 (16 years ago)
PAC ID
5991986697
Group Practice PAC ID
7911325469
Professional Enrollment ID
I20110301000798
Address ID
MI480736712RO3601XRDXX557
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

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

Provider Addresses for MRS. LEIGHANN L NUNNALLY (CRNA)

  • 1008 CLINTON AVE

    SAINT CLAIR, MI 480794953

    Phone: (810) 650-6465

    Type: Mailing

  • 1221 PINE GROVE AVE

    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)

CMS reports 3 Open Payments records for all available years, with a total value of $99.

Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Becton, Dickinson and Company ($61).

Total Amount

$99

General + Research + Ownership

Payments

3

Total payment records

General Amount

$99

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-03-01

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
I20110301000798ICertified 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 48079)

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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: 7911325469View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Interventional Pain ManagementMI
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
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

What number should I use to identify MRS. LEIGHANN L NUNNALLY (CRNA) for billing?
Administrative and clinical systems typically use NPI 1801105630 for MRS. LEIGHANN L NUNNALLY (CRNA).
Quick check: is MRS. LEIGHANN L NUNNALLY (CRNA) active?
Public NPPES data shows MRS. LEIGHANN L NUNNALLY (CRNA) with an active NPI status right now.
What services align with MRS. LEIGHANN L NUNNALLY (CRNA)'s listing?
MRS. LEIGHANN L NUNNALLY (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. LEIGHANN L NUNNALLY (CRNA)?
MRS. LEIGHANN L NUNNALLY (CRNA) shows a connection to Saint Clair, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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