Individual provider Active NPI

Lisa L. Fowler, CRNA

  • Certified Registered Nurse Anesthetist
  • Youngstown, OH
National Provider Identifier
1154519916
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.09671 Issued in OH
Practice address
7630 Southern Blvd
Youngstown, OH 44512-5633
Phone
(330) 729-8000
Fax
(330) 729-8084
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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 APRN.CRNA.09671 OH Primary

Addresses

Primary practice location

7630 Southern Blvd
Youngstown, OH 44512-5633

Mailing address

100 Debartolo PL Ste 200
Youngstown, OH 44512-6095
Phone (330) 729-8146

Other practice location 1

250 Debartolo Pl Ste 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000

Other identifiers 1

IdentifierTypeStateIssuer
2812862MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071031000404 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496842924 Reassigns benefits to 6 organizations
I20240709000987 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496842924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

7630 Southern Blvd
Youngstown, OH 44512-5633
Phone (330) 729-8000

Hospital & facility affiliations

  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CRNA.09671OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Foundation of Trumbull CurrentSince Jan 17, 2025 Accepting new patients
Triad Health Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2025 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2022 Accepting new patients
Trans-Ohio Anesthesia, LLC CurrentSince Jan 24, 2013 Accepting new patients
Keystone Anesthesia Consultants, LTD CurrentSince Sep 1, 2022 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 18, 2022 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Sep 1, 2011 Accepting new patients
Insight Foundation of Trumbull CurrentSince Jan 17, 2025 Accepting new patients
Advanced Anesthesia Associates,Inc Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

3925 Embassy Pkwy
Ste 3975
Akron, OH 44333

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

1995 E State St
Salem, OH 44460
Phone (330) 332-1551

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

9225 E Market St
Warren, OH 44484
Phone (330) 372-7470

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

155 Wilson Ave
Washington, PA 15301
Phone (724) 223-3342

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 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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1154519916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126095",
            "telephone_number": "330-729-8146",
            "fax_number": "330-965-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 SOUTHERN BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125633",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Debartolo Pl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445126090",
            "country_code": "US",
            "telephone_number": "330-729-8000",
            "fax_number": "330-729-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "LISA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.09671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2812862",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.