Doctor profile · Federal record
Dr. Michelle Lidvall, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · Peoria, IL
- NPI 1659789410
- Accepts Medicare
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
221 Ne Glen Oak Ave
Peoria, IL 616360001
(309) 672-5522
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Profile last updated
- December 29, 2014
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Illinois #209.011831 · Illinois #041385084
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1659789410. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Mindray DS USA, Inc. | 1 | $19.00 |
By nature of payment
Frequently asked questions
What is Dr. Michelle Lidvall's medical specialty?
Dr. Michelle Lidvall practices Certified Registered Nurse Anesthetist in Peoria, IL.
Where does Dr. Michelle Lidvall practice?
Dr. Michelle Lidvall practices at 221 Ne Glen Oak Ave, Peoria, IL 616360001. Office phone: 3096725522.
What is Dr. Michelle Lidvall's NPI?
Dr. Michelle Lidvall's National Provider Identifier (NPI) is 1659789410, issued by NPPES.
Does Dr. Michelle Lidvall accept Medicare assignment?
Yes. Dr. Michelle Lidvall accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.