Individual provider Active NPI

Lisa M Bell, CRNA

  • Certified Registered Nurse Anesthetist
  • Edwardsville, IL
National Provider Identifier
1215923768
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209-004429 Issued in IL
Practice address
PO Box 616
Edwardsville, IL 62025-0616
Phone
(833) 749-8324
Fax
(214) 301-0649
NPI assigned
Sep 21, 2005
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209-004429 IL Primary
Registered Nurse 163W00000X 041-218169 IL

Addresses

Primary practice location

PO Box 616
Edwardsville, IL 62025-0616

Mailing address

PO Box 616
Edwardsville, IL 62025-0616
Phone (833) 749-8324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031212000551 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901703594 Reassigns benefits to 3 organizations
I20080715000105 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901703594 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

12866 Troxler Ave
Highland, IL 62249-2806
Phone (618) 651-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041-218169ILMDRegistered Nurse
209-004429ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
South County Anesthesia Associates, LTD CurrentSince Jun 23, 2008 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2021 Accepting new patients
SW Anesthesia LLC CurrentSince Feb 1, 2021 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince May 1, 2024 Accepting new patients
Millennium Anesthesiology Consultants, LLC CurrentSince Oct 9, 2017 Accepting new patients
South County Anesthesia Associates, LTD. CurrentSince Jun 23, 2008 Accepting new patients
American Anesthesiology Group of Tennessee, P. C. Nurse Anesthetist, Certified Registered PastSince Oct 1, 2012 Accepting new patients
Sluh Anesthesia Physicians, L.L.C. Past Accepting new patients

Locations

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

12866 Troxler Ave
Highland, IL 62249
Phone (618) 651-2600

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1215923768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250616",
            "telephone_number": "833-749-8324",
            "fax_number": "214-301-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250616",
            "telephone_number": "833-749-8324",
            "fax_number": "214-301-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-004429",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-218169",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.