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LAN AI LAVELLE NP
NPI 1922245596
Nurse Practitioner - Family in Riverside, CA

Active since January 19, 2009PECOS EnrolledAccepts Medicare Assignment
822 KILMARNOCK WAY, RIVERSIDE, CA 92508(951) 776-1960(951) 776-1960 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lan Ai Lavelle Np NPPES

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

LAN AI LAVELLE NP (NPI 1922245596) is an individual family provider in Riverside, California, licensed in California (22965) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922245596
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAN AI LAVELLECredential: NP
Location Address822 KILMARNOCK WAYRiverside, CA 92508-6077
Mailing Address822 Kilmarnock WayRiverside, CA 92508-6077 · (951) 776-1960 · Fax (951) 776-1960
Phone(951) 776-1960
Fax(951) 776-1960
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 19, 2009
Last NPPES UpdateApril 18, 2013
✔ NPI 1922245596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 22965
822 KILMARNOCK WAY, Riverside, CA 92508
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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

Lan Ai Lavelle Np 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 ID4789813569
PECOS Enrollment IDI20140128001220
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Lan Lavelle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quantum Healthcare Medical Associates Inc.
11 mi
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 clinicians in this Medicare group
NPI 1568490597 (909) 580-1000
Clinic Services Of California Medical Group Inc
365 mi
Emergency Medicine
1235 W VINE ST, SUITE 20
Lodi, CA 95240
  • Reassigned Medicare billing, California enrollment
  • 148 clinicians in this Medicare group
NPI 1578958450 (925) 924-1600

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92508 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers44 claims88 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers19 claims23 services$0.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

PICC LINE ACCESS INC
Registered Nurse
822 KILMARNOCK WAY
RIVERSIDE, CA 92508
Riverside County (951) 533-5551

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 Lan Lavelle's NPI number?

The NPI number for Lan Lavelle is 1922245596. It was assigned to this individual provider in the NPPES registry on January 19, 2009.

Where is Lan Lavelle located?

Lan Lavelle practices at 822 Kilmarnock Way, Riverside, CA 92508. The listed phone number is (951) 776-1960.

What is Lan Lavelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lan Lavelle enrolled in Medicare?

Yes. Lan Lavelle 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 organizations bill Medicare for Lan Lavelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lan Lavelle reassigns Medicare benefits to 2 organizations: Quantum Healthcare Medical Associates Inc. (Colton, CA) and Clinic Services Of California Medical Group Inc (Lodi, CA). Each 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 Lan Lavelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lan Lavelle was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.