MR. WALLACE EDGAR LAWSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1609985241

MR. WALLACE EDGAR LAWSON (CRNA) is a healthcare provider. based in Manassas, Virginia. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 24116782 (VA). The NPI Number for MR. WALLACE EDGAR LAWSON (CRNA) is 1609985241

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. WALLACE EDGAR LAWSON (CRNA)
NPI
1609985241
Phone
(571) 437-4334
Address
8700 SUDLEY ROAD
Enumeration Date
29 August 2006
Last Update Date
7 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
6406952274
Group Practice PAC ID
6800790023
Professional Enrollment ID
I20070511000106
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for MR. WALLACE EDGAR LAWSON (CRNA)

  • Prince William Medical Center, 8700, Sudley Road, Country Place, Manassas, Manassas (city), Virginia, 20110, United States

    MANASSAS, VA 201104418

    Phone: (571) 437-4334

    Type: Location

  • 8323, Suffolk Way, Bridlewood, Gainesville, Prince William County, Virginia, 20155, United States

    GAINESVILLE, VA 201551778

    Phone: (571) 437-4334

    Fax: (703) 754-3185

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $283.

Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Janssen Biotech, Inc. ($121).

Total Amount

$283

General + Research + Ownership

Payments

11

Total payment records

General Amount

$283

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2007-05-11

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
I20070511000106ICertified 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.

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

Insurance plans in this area (ZIP 20110)

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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: 6800790023View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
-MI
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)VA
-VA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)VA
-NC
-NC

Reviews

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Frequently asked questions

How do I look up MR. WALLACE EDGAR LAWSON (CRNA) by NPI?
Use NPI 1609985241 when you need to reference MR. WALLACE EDGAR LAWSON (CRNA) in forms, claims, or directories.
Is MR. WALLACE EDGAR LAWSON (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MR. WALLACE EDGAR LAWSON (CRNA) treat or focus on?
Patients typically see MR. WALLACE EDGAR LAWSON (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MR. WALLACE EDGAR LAWSON (CRNA) practice in Virginia?
You will see Manassas, Virginia on file for MR. WALLACE EDGAR LAWSON (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.