LISA CARRIE ARCHAMBAULT MALLON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992708408
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
310 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NM
Provider Addresses for LISA CARRIE ARCHAMBAULT MALLON (CRNA)
8 CIELO DEL REY
ANTHONY, NM 880219210
Phone: (505) 589-2250
Fax: (505) 589-2265
Type: Mailing
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765089210
Phone: (254) 724-2111
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: 2023-12-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050613000995 | I | Certified Registered Nurse Anesthetist (Crna) | TX | TBD |
| I20231205003287 | I | Certified Registered Nurse Anesthetist (Crna) | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 48 | 48 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 12 | 12 | $0 |
| 00140 | Anesthesia for other procedure on eye | 11 | 11 | $0 |
Insurance plans in this area (ZIP 88021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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