Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LANCE LAGERSTROM CRNA
NPI 1184616625
Nurse Anesthetist, Certified Registered in Suffolk, VA

Active since August 19, 2005Accepts Medicare Assignment
82.36/100
CMS Quality Rating
1020 BON SECOURS DR, SUFFOLK, VA 23435(757) 673-5800 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Nov 17, 2022 (2 updates tracked since 2022).

About Lance Lagerstrom Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANCE LAGERSTROM CRNA (NPI 1184616625) is an individual nurse anesthetist, certified registered in Suffolk, Virginia, licensed in Virginia (0024187785) and active in the NPI registry since August 2005. He is affiliated with University Of Virginia Medical Center, maintains a secondary practice location in Odessa, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1184616625
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameLANCE LAGERSTROMCredential: CRNA
Location Address1020 BON SECOURS DRSuffolk, VA 23435-3930
Mailing Address1305 Walt Whitman Rd Ste 300Melville, NY 11747-4300 · (516) 945-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 19, 2005
Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1184616625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in VA · 0024187785✔ Licensed in TX · 052743
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1020 BON SECOURS DR, Suffolk, VA 23435

Secondary Practice Location 1

Location 1520 E 6th StOdessa, TX 79761-4527 · Phone (432) 334-8088 · Fax (432) 580-7202

Other Identifiers 2

Other85594UTX · Bcbstx
Medicaid164828902TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lance Lagerstrom Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274515192
PECOS Enrollment IDI20231026002893

Medicare Billing Reassignment

Medicare enrollment records show Lance Lagerstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
1215 LEE ST
Charlottesville, VA 22908
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Rector & Visitors Of The University Of Virginia
  • 130 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
26 services26 patients
Anesthesia for other procedure on forearm, wrist, or hand bones 01830
Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).
17 services17 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
16 services16 patients
Anesthesia for other procedure on lower leg, ankle, and foot bones 01480
Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.
14 services14 patients
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.38
Promoting Interoperability100
Improvement Activities40
Cost50.29

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
1020 BON SECOURS DR
SUFFOLK, VA 23435
Clinic/Center (Ambulatory Surgical)
1020 BON SECOURS DR, STE 101
SUFFOLK, VA 23435
Registered Nurse
1020 BON SECOURS DR
SUFFOLK, VA 23435

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lance Lagerstrom's NPI number?

The NPI number for Lance Lagerstrom is 1184616625. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Lance Lagerstrom located?

Lance Lagerstrom practices at 1020 Bon Secours Dr, Suffolk, VA 23435. The listed phone number is (757) 673-5800.

What is Lance Lagerstrom's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Lance Lagerstrom enrolled in Medicare?

Yes. Lance Lagerstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lance Lagerstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lance Lagerstrom reassigns Medicare benefits to Rector And Visitors Of The University Of Virginia (Charlottesville, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lance Lagerstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lance Lagerstrom accept?

Health plans from Blue Cross and Blue Shield of Texas list Lance Lagerstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lance Lagerstrom affiliated with any hospitals?

According to CMS data, Lance Lagerstrom is affiliated with University Of Virginia Medical Center.

When was this NPI record last updated?

The NPPES record for Lance Lagerstrom was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.