AMANDA LAVON DELSOTO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013235142

AMANDA LAVON DELSOTO (CRNA) is a healthcare provider. based in Sedalia, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R71833 (AR). The NPI Number for AMANDA LAVON DELSOTO (CRNA) is 1013235142

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LAVON DELSOTO (CRNA)
NPI
1013235142
Phone
(660) 826-5960
Address
PO BOX 1547
Enumeration Date
13 May 2010
Last Update Date
13 May 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4794042551
Graduation Year
2010 (16 years ago)
PAC ID
5698806172
Group Practice PAC ID
6406077460
Professional Enrollment ID
I20100628000240
Address ID
AR727034033FA3271XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

Provider Addresses for AMANDA LAVON DELSOTO (CRNA)

  • PO BOX 1547

    SEDALIA, MO 653021547

    Phone: (660) 826-5960

    Fax: (660) 826-4852

    Type: Mailing

  • 3271 WIMBERLY DR

    FAYETTEVILLE, AR 727034033

    Phone: (479) 713-6100

    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: 2010-06-28

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
I20100628000240ICertified Registered Nurse Anesthetist (Crna)ARTBD

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
00142Anesthesia for lens surgery127115$0
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
00812Anesthesia for exam of colon using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 65302)

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Provider's Procedures

AMANDA LAVON DELSOTO (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETAR00142Anesthesia for lens surgery199181

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: 6406077460View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AR
A N E S T H E S I O L O G YAR
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AR
-AR
-OK
-AR

Reviews

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Frequently asked questions

What number should I use to identify AMANDA LAVON DELSOTO (CRNA) for billing?
Administrative and clinical systems typically use NPI 1013235142 for AMANDA LAVON DELSOTO (CRNA).
Should I treat AMANDA LAVON DELSOTO (CRNA) as an active provider?
Patients and plans typically see AMANDA LAVON DELSOTO (CRNA) as active in the national extract.
What type of care does AMANDA LAVON DELSOTO (CRNA) provide?
AMANDA LAVON DELSOTO (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Which community is linked to AMANDA LAVON DELSOTO (CRNA)?
AMANDA LAVON DELSOTO (CRNA) shows a connection to Sedalia, Missouri in registry-derived data.
Why is information missing for AMANDA LAVON DELSOTO (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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