MCKENZIE ELISE LAVENGCO (PA-C) – Physician Assistant, NPI 1215671813
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,497 PHYSICIAN ASSISTANT in TX
Provider Addresses for MCKENZIE ELISE LAVENGCO (PA-C)
1807 W Slaughter Ln Ste 490
Austin, TX 787486208
Phone: (512) 282-8967
Fax: (512) 406-7351
Type: Location
13830 Sawyer Ranch Rd Ste 302
Dripping Springs, TX 786205514
Phone: (512) 894-2294
Type: Location
3828 S 1st St
Austin, TX 787047048
Phone: (512) 443-1311
Fax: (512) 406-6266
Type: Location
3944 Ranch Rd 620 S
Building 6, Suite 203
Bee Cave, TX 78738
Phone: (512) 894-2294
Type: Location
915 ENCHANTED OAK DR
DRIFTWOOD, TX 786194250
Phone: (713) 213-6743
Type: Mailing
13830 SAWYER RANCH RD STE 302
DRIPPING SPRINGS, TX 786205514
Phone: (512) 894-2294
Type: Location
6210 E HWY 290
AUSTIN, TX 787231142
Phone: (713) 213-6743
Type: Mailing
1301 W 38TH ST STE 102
AUSTIN, TX 787051010
Phone: (512) 454-4561
Fax: (512) 406-7330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $391.
Total Amount is formed as General ($391) + Research ($0) + Ownership ($0) = $391.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: SI-BONE, INC. ($142).
Total Amount
$391
General + Research + Ownership
Payments
9
Total payment records
General Amount
$391
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $142 |
| Radius Health, Inc. | $77 |
| KCI USA, Inc. | $48 |
| Globus Medical, Inc. | $42 |
| Smith+Nephew, Inc. | $32 |
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: 2022-08-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220805002067 | I | Physician Assistant | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78748)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | TX | |
| - | TX | |
| Nurse Practitioner | LA | |
| - | TX | |
| - | 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 | |
| - | TX |
Reviews
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