Amanda Lavon Delsoto, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fayetteville, AR

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Amanda Lavon Delsoto, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fayetteville, Arkansas. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Renew Medical Group Of Arkansas Ltd, Gastro Anesthesia Pllc, Premier Anesthesia Of Arkansas Professional Corporation and her current practice location is 3271 Wimberly Dr, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 713-6100.

Amanda Lavon Delsoto is licensed to practice in Arkansas (license number R71833) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013235142.

Contact Information

Amanda Lavon Delsoto, CRNA
3271 Wimberly Dr,
Fayetteville, AR 72703-4033
(479) 713-6100
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Lavon Delsoto
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location3271 Wimberly Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amanda Lavon Delsoto graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1013235142
  • Provider Enumeration Date: 05/13/2010
  • Last Update Date: 05/13/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 5698806172
  • Enrollment ID: I20100628000240

Medical Identifiers

Medical identifiers for Amanda Lavon Delsoto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013235142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R71833 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington Regional Medical CenterFayetteville, ARHospital
Mercy Hospital Fort SmithFort smith, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Renew Medical Group Of Arkansas Ltd3173056298108
Gastro Anesthesia Pllc35777277007
Premier Anesthesia Of Arkansas Professional Corporation640607746061

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Lavon Delsoto allows following entities to bill medicare on her behalf.
Entity NameWestern Arkansas Anesthesiology Associates P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548202294
PECOS PAC ID: 0648179291
Enrollment ID: O20040102000767
Entity NameJohnson Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396794525
PECOS PAC ID: 1658360284
Enrollment ID: O20040702000283
Entity NameAmbulatory Anesthesia Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497086292
PECOS PAC ID: 4880739648
Enrollment ID: O20100304000035
Entity NameGastro Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366700890
PECOS PAC ID: 3577727700
Enrollment ID: O20120619000424
Entity NamePremier Anesthesia Of Arkansas Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932519485
PECOS PAC ID: 6406077460
Enrollment ID: O20141016002060
Entity NameCapital Anesthesia Solutions Of Arkansas, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174125876
PECOS PAC ID: 5395159313
Enrollment ID: O20210202001530
Entity NameRenew Medical Group Of Arkansas Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215755947
PECOS PAC ID: 3173056298
Enrollment ID: O20241029000873

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Lavon Delsoto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Lavon Delsoto, CRNA
Po Box 1547,
Sedalia, MO 65302-1547

Ph: (660) 826-5960		Amanda Lavon Delsoto, CRNA
3271 Wimberly Dr,
Fayetteville, AR 72703-4033

Ph: (479) 713-6100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fayetteville, AR

Kelsey Erin Van Slyke, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-463-1000    
Mr. Charles Arthur Mccutchen Sr., C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3873 N Parkview Dr, Fayetteville, AR 72703
Phone: 479-527-0050    
Victor Pribislavski, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3394 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-582-3360    Fax: 479-582-3466
Heather Pribislavski, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 501-690-2708    
James Berry, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3318 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-872-1294    
Bradley Tow, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 770-643-5619    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.