Individual provider Active NPI

Lisa Christine Novak, CRNA

  • Certified Registered Nurse Anesthetist
  • Columbus, OH
National Provider Identifier
1013414093
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0020653 Issued in OH
Practice address
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone
(614) 566-4919
NPI assigned
Apr 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN2312780 MA
Certified Registered Nurse Anesthetist 367500000X RN2312780 MA
Student in an Organized Health Care Education/Training Program 390200000X
Certified Registered Nurse Anesthetist 367500000X 0020653 OH Primary

Addresses

Primary practice location

3535 Olentangy River Rd
Columbus, OH 43214-3908

Mailing address

5151 Reed Rd Ste 225C
Columbus, OH 43220-2553
Phone (614) 884-0641

Other practice location 1

55 Fruit St # 444
Boston, MA 02114
Phone (617) 726-3030

Other practice location 2

140 Commonwealth Ave
Chestnut Hill, MA 02467-3858
Phone (617) 552-8000

Other practice location 3

55 Fruit St # 444
Boston, MA 02114
Phone (617) 726-3030

Other practice location 4

125 Parker Hill Ave Dept Of
Boston, MA 02120-2847
Phone (617) 667-3110

Other practice location 5

7500 Hospital Dr
Dublin, OH 43016-8518
Phone (614) 566-4919

Other practice location 6

2 Pond Park Rd
Hingham, MA 02043-4347
Phone (781) 624-8352

Other practice location 7

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 624-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190910000098 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941539472 Reassigns benefits to 6 organizations
I20230511002556 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941539472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Boston University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Physicians of Harvard Medical Faculty Physicians at Beth IsGroup PAC ID 6305749987, shared by 7 NPIs, 566 clinicians
Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians
Massachusetts General Physicians Organization IncGroup PAC ID 2466365820, 3,494 clinicians

Practice addresses (Care Compare)

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (781) 453-7300

55 Fogg Rd
Weymouth, MA 02190-2432
Phone (781) 792-4136

55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287

Hospital & facility affiliations

  • Beth Israel Deaconess Hospital Plymouth Hospital, Plymouth, MA, CCN 220060
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100
  • Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2312780MAMDCertified Registered Nurse Anesthetist
0020653OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Sep 11, 2019 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 1, 2019 Accepting new patients
Midwest Physician Anesthesia Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Sep 11, 2019 Accepting new patients
Coastal Medical Associates Nurse Anesthetist, Certified Registered CurrentSince Feb 27, 2025 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 1, 2025 Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is Current Accepting new patients
Associated Physicians of Harvard Medical Faculty Physicians at Beth Is CurrentSince Sep 1, 2019 Accepting new patients
South Shore Medical Center, Inc. CurrentSince Feb 27, 2025 Accepting new patients
Deperro Plastic Surgery, LLC PastSince Oct 22, 2023 Accepting new patients

Locations

55 Fruit St
#444
Boston, MA 02114
Phone (617) 319-3940

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

40 Allied Dr
Dedham, MA 02026
Phone (617) 264-1100

2 Pond Park Rd
Hingham, MA 02043
Phone (781) 337-5555

5 Tarkiln Rd
Kingston, MA 02364
Phone (781) 585-2200

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

25 Highland Ave
Newburyport, MA 01950
Phone (978) 258-4734

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

55 Fogg Rd
Weymouth, MA 02190
Phone (781) 340-4293

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

5151 Reed Rd
Ste 225C
Columbus, OH 43220
Phone (614) 457-2306

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

Interoperability endpoints

  • Direct secure messaging: lnovak251944@direct.bilh.masshiway.net

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1013414093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 REED RD STE 225C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202553",
            "telephone_number": "614-884-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143908",
            "telephone_number": "614-566-4919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St # 444",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "617-726-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Commonwealth Ave",
            "address_purpose": "LOCATION",
            "city": "Chestnut Hill",
            "state": "MA",
            "postal_code": "024673858",
            "country_code": "US",
            "telephone_number": "617-552-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St # 444",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02114",
            "country_code": "US",
            "telephone_number": "617-726-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Parker Hill Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021202847",
            "country_code": "US",
            "telephone_number": "617-667-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7500 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168518",
            "country_code": "US",
            "telephone_number": "614-566-4919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Pond Park Rd",
            "address_purpose": "LOCATION",
            "city": "Hingham",
            "state": "MA",
            "postal_code": "020434347",
            "country_code": "US",
            "telephone_number": "781-624-8352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fogg Rd",
            "address_purpose": "LOCATION",
            "city": "Weymouth",
            "state": "MA",
            "postal_code": "021902432",
            "country_code": "US",
            "telephone_number": "781-624-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MA",
            "license": "RN2312780",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2312780",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "0020653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.