Active NPI
Lisa Hayes, CRNA
- Certified Registered Nurse Anesthetist
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN520720L
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0999 - Phone
- (570) 829-8111
- Fax
- (570) 208-5548
- NPI assigned
- Sep 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN520720L | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0999
Mailing address
PO Box 1676
Kingston, PA 18704-0676
Phone (570) 208-5534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00979472 | Other | PA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110222000320 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7315128535 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- 360 Anesthesia PLLC
Practice addresses (Care Compare)
700 Quincy Ave
Scranton, PA 18510-1724
Phone (570) 770-5460
Hospital & facility affiliations
- Wilkes-Barre General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Forty Fort Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates Inc. | Past | Accepting new patients |
Locations
190 Welles St
Kingston, PA 18704
Phone (570) 283-0524
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100
575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Wilkes Barre, PA
- NPI 1811637366
Nurse Anesthetist, Certified Registered, PA
-
- Certified Registered Nurse Anesthetist
- Forty Fort, PA
- NPI 1346600038
Nurse Anesthetist, Certified Registered, PA
-
- Pain Medicine (Anesthesiology) Physician
- Wilkes Barre, PA
- NPI 1295751915
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1255585303
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1053629675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1676",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187040676",
"telephone_number": "570-208-5534",
"fax_number": "507-208-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187640999",
"telephone_number": "570-829-8111",
"fax_number": "570-208-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "LISA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-16",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN520720L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00979472",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.