LACEY R VANEMBURG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104366228

LACEY R VANEMBURG (CRNA) is a healthcare provider. based in West plains, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R085616 (AR). The NPI Number for LACEY R VANEMBURG (CRNA) is 1104366228

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LACEY R VANEMBURG (CRNA)
NPI
1104366228
Phone
(417) 256-9111
Address
1100 N Kentucky Ave
Enumeration Date
8 March 2017
Last Update Date
15 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4173357736
Graduation Year
2017 (9 years ago)
PAC ID
9830460302
Group Practice PAC ID
1658509864
Professional Enrollment ID
I20180219002089
Address ID
MO656162126BR525XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for LACEY R VANEMBURG (CRNA)

  • 1100 N Kentucky Ave

    West Plains, MO 657752029

    Phone: (417) 256-9111

    Type: Location

  • PO BOX 9007

    SPRINGFIELD, MO 658089007

    Phone: (417) 875-3000

    Type: Mailing

  • Jack in the Box, South 18th Street, Kansas City, Wyandotte County, Kansas, 66102, United States

    KANSAS CITY, MO 641842120

    Phone: (417) 239-3392

    Type: Mailing

  • Cox Medical Center Branson, 525, Branson Landing Boulevard, Branson, Taney County, Missouri, 65616, United States

    BRANSON, MO 656162052

    Phone: (417) 239-3392

    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: 2018-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20170801002876ICertified Registered Nurse Anesthetist (Crna)ARTBD
I20180219002089ICertified Registered Nurse Anesthetist (Crna)MOTBD

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
01402Anesthesia for procedure for total knee joint replacement1313$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 65775)

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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: 1658509864View full group profile

Reviews

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Frequently asked questions

What NPI should I save for LACEY R VANEMBURG (CRNA)?
Save NPI 1104366228 if you need a stable reference for LACEY R VANEMBURG (CRNA).
Is LACEY R VANEMBURG (CRNA) currently active in the NPI registry?
CMS-published data lists LACEY R VANEMBURG (CRNA) as an active registrant.
What does LACEY R VANEMBURG (CRNA) treat or focus on?
Patients typically see LACEY R VANEMBURG (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for LACEY R VANEMBURG (CRNA)?
The page summarizes West Plains, Missouri for LACEY R VANEMBURG (CRNA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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