LEE C LAVALLE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1427198761

LEE C LAVALLE (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. 2002004773 (MO). The NPI Number for LEE C LAVALLE (CRNA) is 1427198761

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
LEE C LAVALLE (CRNA)
NPI
1427198761
Phone
(573) 204-3095
Address
5537 LEXINGTON ST
Enumeration Date
7 February 2007
Last Update Date
10 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5733313000
Graduation Year
2005 (21 years ago)
PAC ID
4587679295
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20060217000067
Address ID
MO637035049CA211XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

Provider Addresses for LEE C LAVALLE (CRNA)

  • 5537 LEXINGTON ST

    JACKSON, MO 637553827

    Phone: (573) 204-3095

    Type: Mailing

  • 1701 LACEY ST

    CAPE GIRARDEAU, MO 637015230

    Phone: (573) 651-5562

    Type: Location

  • PO BOX 801143

    KANSAS CITY, MO 641801143

    Phone: (573) 331-3000

    Fax: (573) 331-5073

    Type: Mailing

  • 211 SAINT FRANCIS DR

    CAPE GIRARDEAU, MO 637035049

    Phone: (573) 331-5150

    Fax: (573) 331-5026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2006-02-17

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
I20060217000067ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4140$0
00811Anesthesia for other procedure on large bowel using an endoscope2727$0
00813Anesthesia for procedure on small and large bowel using an endoscope2121$0
View full utilization report →

Insurance plans in this area (ZIP 63755)

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Provider's Procedures

LEE C LAVALLE (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 ANESTHETMO00790Anesthesia for procedure in upper abdomen including use of an endoscope1616

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: 9931007929View full group profile
NameSpecialtyState
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
General SurgeryMO
Nurse PractitionerMO
-MO
-MO

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Frequently asked questions

What is the standard ID for LEE C LAVALLE (CRNA) in the U.S.?
In the U.S., LEE C LAVALLE (CRNA) is identified by NPI 1427198761.
Does the public listing show LEE C LAVALLE (CRNA) as active?
LEE C LAVALLE (CRNA)'s NPI record reflects an active status in NPPES.
What does the directory say LEE C LAVALLE (CRNA) does?
Insurance directories may phrase it differently, but here LEE C LAVALLE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LEE C LAVALLE (CRNA)?
LEE C LAVALLE (CRNA) is associated with Jackson, Missouri in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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