Individual provider Active NPI

Lisa Yeary, DNP- NA, CRNA

  • Certified Registered Nurse Anesthetist
  • Great Falls, MT
National Provider Identifier
1104547579
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN-266291 Issued in MT
Practice address
3010 15TH Ave S
Great Falls, MT 59405-5240
Phone
(706) 833-4196
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN-266290 MT
Certified Registered Nurse Anesthetist 367500000X APRN-266291 MT Primary

Addresses

Primary practice location

3010 15TH Ave S
Great Falls, MT 59405-5240

Mailing address

18 Missouri Bend Rd
Great Falls, MT 59404-6486
Phone (706) 833-4196

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827001467 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284135831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMSC LLCGroup PAC ID 5890602494, 92 clinicians

Practice addresses (Care Compare)

1509 29TH St S
Great Falls, MT 59405-5363
Phone (406) 771-3500

3000 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171

3010 15TH Ave S
Great Falls, MT 59405-5240
Phone (406) 216-8000

Hospital & facility affiliations

  • Great Falls Clinic Hospital Hospital, Great Falls, MT, CCN 270086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN-266290MTMDRegistered Nurse
APRN-266291MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CMSC, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

Organizations & group practices 1

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 1

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": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1104547579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MISSOURI BEND RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046486",
            "telephone_number": "706-833-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 15TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055240",
            "telephone_number": "706-833-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEARY",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DNP- NA, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "RN-266290",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "APRN-266291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "12100 E Ryscott Cir",
            "city": "Vail",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856410255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.