Lacey R Vanemburg, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CO03204 Issued in AR

Practice address

525 Branson Landing Blvd
Branson, MO 65616-2052

Phone

(417) 239-3392

NPI assigned

Mar 8, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Lacey R Gammill Former name

Medicare fee-for-service enrollment

Enrolled in AR, MO2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baxter County Regional Hospital Inc 75 clinicians

Ozarks Medical Center 166 clinicians

White River Health Anesthesia Service Group, Inc. 23 clinicians

Skaggs Community Hospital Association 222 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cox Medical Center Branson Hospital, Branson, MO, CCN 260094

Merit-based Incentive Payment System (MIPS)

Final score

93.53 of 100Reported as group

Quality

96.63

Promoting interoperability

100

Improvement activities

40

Cost

81.81

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  MO

  Medicare reassignment Care Compare group NPD
• White River Health Anesthesia Service Group, Inc.

  • Certified Registered Nurse Anesthetist
  • Batesville, AR
  • NPI 1598562233

  AR, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Skaggs Community Hospital Association

  • Pulmonary Disease Physician
  • Branson, MO
  • NPI 1871786905

  MO

  Medicare reassignment Care Compare group
• Baxter County Regional Hospital Inc

  • Anesthesiology Physician
  • Mountain Home, AR
  • NPI 1114178753

  AR

  Medicare reassignment Care Compare group
• White River Health System, Inc.

  • Rural Health Clinic/Center
  • Melbourne, AR
  • NPI 1477523348

  AR

  Medicare reassignment NPD
• Ozarks Medical Center

  • Rural Health Clinic/Center
  • West Plains, MO
  • NPI 1154838209
  Care Compare group
• Ozarks Medical Center

  • Rural Health Clinic/Center
  • Mt. View, MO
  • NPI 1295815017
  Care Compare group
• Ozarks Medical Center

  • Community/Retail Pharmacy
  • West Plains, MO
  • NPI 1356079396
  Care Compare group
• Ozarks Medical Center

  • Rural Health Clinic/Center
  • Mountain Grove, MO
  • NPI 1376679423
  Care Compare group
• Ozarks Medical Center

  • Community Based Hospice Care Agency
  • West Plains, MO
  • NPI 1487658340
  Care Compare group
• Ozarks Medical Center

  • Rural Health Clinic/Center
  • Winona, MO
  • NPI 1558497917
  Care Compare group
• Ozarks Medical Center

  • Rural Health Clinic/Center
  • Alton, MO
  • NPI 1588791842
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Skaggs Community Hospital Association

  • General Acute Care Hospital
  • Branson, MO
  • NPI 1760443980

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1104366228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658089007",
            "telephone_number": "417-875-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BRANSON LANDING BLVD",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162052",
            "telephone_number": "417-239-3392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-256-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANEMBURG",
        "first_name": "LACEY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-08",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R085616",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2018001344",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "CO03204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910051138",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "GAMMILL",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Demetra Tsahiridis, MSMHC MSED PLPC CIT
• Jeffery L Tucker, OT
• Kevin Donald Umbright, O.D.
• Molly Elizabeth Vahldick, FNP-C
• Zach T Vahldick, D.C
• Elyse Verdeyen, PA-C
• Matthew Vermillion
• Donald N Vespa, DDS
• Justin Brandon Virtue, PHARM D
• Nicholas Vogel

• All providers in Branson, MO
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.