Lisa Ann Nydam, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3217 Issued in CA

Practice address

1001 Southpark Dr
Littleton, CO 80120-5641

Phone

(303) 722-8789

Fax

(303) 722-2935

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arapahoe Gastroenterology Anesthesia Associates LLCGroup PAC ID 2466745294, 17 clinicians

Arlington Anesthesia Group PLLCGroup PAC ID 2860798303, 35 clinicians

Peak Gastroenterology AssociatesGroup PAC ID 2961484365, 32 clinicians

Centers for GastroenterologyGroup PAC ID 9537059555, 38 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

60.52 of 100Reported as group

Quality

0

Promoting interoperability

100

Improvement activities

40

Cost

68.38

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisa.nydam.1@3461.direct.athenahealth.com

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.

• Arapahoe Gastroenterology Anesthesia Associates LLC

  • Certified Registered Nurse Anesthetist
  • Littleton, CO
  • NPI 1598115479

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Centers for Gastroenterology

  • Gastroenterology Physician
  • Fort Collins, CO
  • NPI 1801994157
  Medicare reassignment Care Compare group NPD
• Peak Gastroenterology Associates

  • Gastroenterology Physician
  • Colorado Springs, CO
  • NPI 1023112117
  Medicare reassignment Care Compare group NPD
• Arlington Anesthesia Group, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1023483153

  CO

  Medicare reassignment Care Compare group NPD
• CPR Anesthesia, Inc

  • Anesthesiology Physician
  • Aurora, CO
  • NPI 1326436353

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  CO, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Dream Dental Anesthesia Solutions, PLLC

  • Certified Registered Nurse Anesthetist
  • Parker, CO
  • NPI 1003410788

  Nurse Anesthetist, Certified Registered

  NPD Authorized official
• University Anesthesia Medical Group

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1528137296
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1316096985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 S PLATTE RIVER PKWY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202911",
            "telephone_number": "925-830-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTHPARK DR",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801205641",
            "telephone_number": "303-722-8789",
            "fax_number": "303-722-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYDAM",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3217",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0991047-CRNA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novus Behavior Associates LLC
• Novus Behavior Associates LLC
• Jenny Nowling, CMMT
• Nso Professional Services, LLC
• NWSC Co Dr LLC
• Spenser Baylee Nye, PSYD
• Sharon E O Connor, MD
• Brooke Ellyn O'Brien, M.S., CCC-SLP
• Sheri L O'Brien, PT, DPT, OCS,FAAOMPT
• Emily Kathryn O'Connor

• Certified Registered Nurse Anesthetist in Littleton, CO
• Providers in Littleton, CO by specialty
• Certified Registered Nurse Anesthetist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.