Individual provider Active NPI

Sarah Lis, CRNA

  • Certified Registered Nurse Anesthetist
  • Santa Fe, NM
National Provider Identifier
1285101436
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
54454 Issued in NM
Practice address
113 Coyote Xing
Santa Fe, NM 87508-9375
Phone
(570) 510-6848
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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 43-558020-021 KS
Certified Registered Nurse Anesthetist 367500000X 54454 NM Primary

Addresses

Primary practice location

113 Coyote Xing
Santa Fe, NM 87508-9375

Mailing address

113 Coyote Xing
Santa Fe, NM 87508-9375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190107002090 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668718016 Reassigns benefits to 3 organizations
I20221101002657 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668718016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

3001 Broadmoor Blvd NE
Unm Sandoval Regional Medical Cente
Rio Rancho, NM 87144-2100
Phone (505) 994-7000

Hospital & facility affiliations

  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43-558020-021KSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Sep 19, 2022 Accepting new patients
Netherlands Anesthesia, LLC CurrentSince Sep 13, 2022 Accepting new patients
Otero County Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Otero County Hospital Association CurrentSince Aug 1, 2023 Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Apr 26, 2023 Accepting new patients

Locations

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

7788 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 999-1600

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone (505) 994-7000

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746

Organizations & group practices 5

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1285101436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COYOTE XING",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COYOTE XING",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089375",
            "telephone_number": "570-510-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIS",
        "first_name": "SARAH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "43-558020-021",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NM",
            "license": "54454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.