LANCE LAGERSTROM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1184616625

LANCE LAGERSTROM (CRNA) is a healthcare provider. based in Odessa, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 052743 (TX). The NPI Number for LANCE LAGERSTROM (CRNA) is 1184616625

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
LANCE LAGERSTROM (CRNA)
NPI
1184616625
Phone
(432) 334-8088
Address
520 E 6TH ST
Enumeration Date
19 August 2005
Last Update Date
17 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4349240000
Graduation Year
2001 (25 years ago)
PAC ID
3274515192
Group Practice PAC ID
4789592718
Professional Enrollment ID
I20231026002893
Address ID
VA229080816CH1215XSTXX300

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for LANCE LAGERSTROM (CRNA)

  • Odessa Regional Medical Center, 520, East 6th Street, Owen, Odessa, Ector County, Texas, 79761, United States

    ODESSA, TX 797614527

    Phone: (432) 334-8088

    Fax: (432) 580-7202

    Type: Location

  • PO BOX 1226

    ODESSA, TX 797601226

    Phone: (432) 334-8088

    Fax: (432) 580-7202

    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: 2023-10-26

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
I20231026002893ICertified Registered Nurse Anesthetist (Crna)VATBD

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
00142Anesthesia for lens surgery2120$0
View full utilization report →

Insurance plans in this area (ZIP 79761)

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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: 4789592718View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)VA
-NC
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)VA
-VA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

How do payers reference LANCE LAGERSTROM (CRNA)?
For LANCE LAGERSTROM (CRNA), use NPI 1184616625 as the unique 10-digit identifier.
Active or inactive — what applies to LANCE LAGERSTROM (CRNA)?
You should see LANCE LAGERSTROM (CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with LANCE LAGERSTROM (CRNA)?
LANCE LAGERSTROM (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Texas is LANCE LAGERSTROM (CRNA) registered?
Use Odessa, Texas as the headline location for LANCE LAGERSTROM (CRNA) here.
Can I trust this NPI listing for LANCE LAGERSTROM (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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