Individual provider Active NPI

Lisa Ann Rubenberg, CRNA

  • Certified Registered Nurse Anesthetist
  • Boca Raton, FL
National Provider Identifier
1144232851
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9173478 Issued in FL
Practice address
6521 Las Flores Dr
Boca Raton, FL 33433-2366
Phone
(561) 573-6477
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9173478 FL Primary

Addresses

Primary practice location

6521 Las Flores Dr
Boca Raton, FL 33433-2366

Mailing address

6521 Las Flores Dr
Boca Raton, FL 33433-2366
Phone (561) 573-6477

Other identifiers 1

IdentifierTypeStateIssuer
G3670OtherFLBCBS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100803000472 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6103866249 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The New London Hospital Association IncGroup PAC ID 5294643623, shared by 3 NPIs, 66 clinicians

Practice addresses (Care Compare)

273 Country Rd
New London, NH 03257-5736
Phone (603) 526-5215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
ARNP9173478FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The New London Hospital Association, Inc. CurrentSince Sep 19, 2025 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Jan 3, 2014 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Jun 1, 2010 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Jan 3, 2014 Accepting new patients
Anesthesia Associates Professional Association Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2018 Accepting new patients
Martin County Anesthesia Group PL Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients
Sheridan Healthcare of Vermont Inc Nurse Anesthetist, Certified Registered PastSince Sep 25, 2019 Accepting new patients
Metropolitan Anesthesia, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Pillsbury St
Ste 202
Concord, NH 03301
Phone (603) 224-4776

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

273 County Rd
New London, NH 03257
Phone (603) 526-5215

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The New London Hospital Association IncNew London, NH, CCN 30Z304 Hospital Corporate Officer Jul 16, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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 2

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214006400000",
    "number": "1144232851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6521 LAS FLORES DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332366",
            "telephone_number": "561-573-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6521 LAS FLORES DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332366",
            "telephone_number": "561-573-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENBERG",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9173478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "G3670",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.