MISS AUDREY JANE LANDEFELD (MS, CRNA) – Certified Registered Nurse Anesthetist, NPI 1184030975

MISS AUDREY JANE LANDEFELD (MS, CRNA) is a healthcare provider. based in Dayton, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials MS, CRNA. They hold a License No. 109598 (MA). The NPI Number for MISS AUDREY JANE LANDEFELD (MS, CRNA) is 1184030975

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MISS AUDREY JANE LANDEFELD (MS, CRNA)
NPI
1184030975
Phone
(937) 208-4380
Address
1 WYOMING ST
Enumeration Date
1 July 2014
Last Update Date
13 October 2023

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9372984331
Graduation Year
2016 (10 years ago)
PAC ID
3072809391
Group Practice PAC ID
0648170365
Professional Enrollment ID
I20160912002146
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for MISS AUDREY JANE LANDEFELD (MS, CRNA)

  • 1 WYOMING ST

    SUITE SW 3027A

    DAYTON, OH 454092722

    Phone: (937) 208-4380

    Type: Mailing

  • 3333 W Tech Rd

    Miamisburg, OH 453420955

    Phone: (937) 641-4000

    Fax: (937) 641-4500

    Type: Location

  • 1 Wyoming St

    Suite SW 3027A

    Dayton, OH 454092722

    Phone: (937) 208-4380

    Type: Location

  • 1 CHILDRENS PLZ

    DAYTON, OH 454041873

    Phone: (937) 641-3000

    Type: Mailing

  • PO BOX 933432

    CLEVELAND, OH 441930039

    Phone: (937) 641-3000

    Type: Mailing

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: 2016-09-12

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
I20160912002146ICertified Registered Nurse Anesthetist (Crna)OHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45409)

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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: 0648170365View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
-FL
A N E S T H E S I O L O G YWI
-OH

Reviews

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Frequently asked questions

How do payers reference MISS AUDREY JANE LANDEFELD (MS, CRNA)?
For MISS AUDREY JANE LANDEFELD (MS, CRNA), use NPI 1184030975 as the unique 10-digit identifier.
Is MISS AUDREY JANE LANDEFELD (MS, CRNA) still an active registrant?
MISS AUDREY JANE LANDEFELD (MS, CRNA) carries an active NPI according to the public dataset.
What clinical focus is listed for MISS AUDREY JANE LANDEFELD (MS, CRNA)?
At a glance, MISS AUDREY JANE LANDEFELD (MS, CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Ohio is MISS AUDREY JANE LANDEFELD (MS, CRNA) registered?
Use Dayton, Ohio as the headline location for MISS AUDREY JANE LANDEFELD (MS, CRNA) here.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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