MR. NEIL LAVANCHY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1356481626

MR. NEIL LAVANCHY (CRNA) is a healthcare provider. based in Jackson, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 079251 (MO). The NPI Number for MR. NEIL LAVANCHY (CRNA) is 1356481626

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
MR. NEIL LAVANCHY (CRNA)
NPI
1356481626
Phone
Not provided
Address
1144 COUNTY. RD. 347
Enumeration Date
7 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733344822
Graduation Year
1984 (42 years ago)
PAC ID
2668519752
Group Practice PAC ID
9133024334
Professional Enrollment ID
I20091022000035
Address ID
MO637015230CA1701XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

Provider Addresses for MR. NEIL LAVANCHY (CRNA)

  • 1144 COUNTY. RD. 347

    JACKSON, MO 637557476

    Phone:

    Type: Mailing

  • 1701 LACEY ST

    CAPE GIRARDEAU, MO 637015230

    Phone: (573) 651-5562

    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: 2009-10-22

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
I20091022000035ICertified 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
00670Anesthesia for extensive surgery on spine1919$0
View full utilization report →

Insurance plans in this area (ZIP 63755)

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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: 9133024334View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YKY
Registered Dietitian Or Nutrition ProfessionalMO
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)MO
Nurse PractitionerMO
-MO
Certified Registered Nurse Anesthetist (Crna)IL
-MO
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

Is MR. NEIL LAVANCHY (CRNA) listed with a National Provider Identifier?
Yes — MR. NEIL LAVANCHY (CRNA) has NPI 1356481626 on file in the registry.
Would MR. NEIL LAVANCHY (CRNA) appear as active to a payer?
You can treat MR. NEIL LAVANCHY (CRNA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MR. NEIL LAVANCHY (CRNA)?
MR. NEIL LAVANCHY (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Where in Missouri is MR. NEIL LAVANCHY (CRNA) registered?
Use Jackson, Missouri as the headline location for MR. NEIL LAVANCHY (CRNA) here.
When was this NPI issued?
Enumeration for MR. NEIL LAVANCHY (CRNA) is noted as February 7, 2007 where the registry provides it.

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