AMANDA DENISE LA FAVERS – Certified Registered Nurse Anesthetist, NPI 1205460813

AMANDA DENISE LA FAVERS is a healthcare provider. based in Cincinnati, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 019993 (OH). The NPI Number for AMANDA DENISE LA FAVERS is 1205460813

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA DENISE LA FAVERS
NPI
1205460813
Phone
(513) 865-1111
Address
10500 MONTGOMERY RD
Enumeration Date
24 February 2020
Last Update Date
24 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592526612
Graduation Year
2019 (7 years ago)
PAC ID
9739518176
Group Practice PAC ID
5092627521
Professional Enrollment ID
I20210311002673
Address ID
KY405083008LE310XXLIME300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for AMANDA DENISE LA FAVERS

  • 10500 MONTGOMERY RD

    CINCINNATI, OH 452424402

    Phone: (513) 865-1111

    Type: Location

  • 1720 RED CLOVER DR

    LEBANON, OH 450364094

    Phone: (270) 585-3854

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($39).

Total Amount

$89

General + Research + Ownership

Payments

5

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2021-03-11

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
I20210311002673ICertified Registered Nurse Anesthetist (Crna)KYTBD

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 endoscope1919$0
View full utilization report →

Insurance plans in this area (ZIP 45242)

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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: 5092627521View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
A N E S T H E S I O L O G YKY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
-KY
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

Where can patients find AMANDA DENISE LA FAVERS's NPI?
You can confirm AMANDA DENISE LA FAVERS with NPI 1205460813; it appears in the national provider directory.
Is AMANDA DENISE LA FAVERS currently active in the NPI registry?
CMS-published data lists AMANDA DENISE LA FAVERS as an active registrant.
Does AMANDA DENISE LA FAVERS list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for AMANDA DENISE LA FAVERS. Clinical services aligned with this taxonomy classification.
What location shows for AMANDA DENISE LA FAVERS?
We surface Cincinnati, Ohio for AMANDA DENISE LA FAVERS based on available NPPES addresses.
How can I contact AMANDA DENISE LA FAVERS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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