Individual provider Active NPI

Julia Lysyuk

  • Certified Registered Nurse Anesthetist
  • Renton, WA
National Provider Identifier
1336784131
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
128622 Issued in NC
Practice address
400 S 43Rd St
Renton, WA 98055-5714
Phone
(425) 228-3450
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
No

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Anesthesia Services PLLC 39 clinicians
Washington Gastroenterology PLLC 142 clinicians
Evergreen Eye Anesthesia PLLC 14 clinicians
Rainier Anesthesia Associates PC 69 clinicians

Practice addresses (Care Compare)

1145 Broadway
Seattle, WA 98122-4201
Phone (425) 615-6100

3209 S 23Rd St
Suite 200
Tacoma, WA 98405-1602
Phone (253) 272-5127

34719 6TH Ave S
Federal Way, WA 98003-8714
Phone (800) 340-3595

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 848-6661

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200302000035 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678900701 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128622NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Anesthesia Associates PC CurrentSince Nov 20, 2023 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jun 24, 2024 Accepting new patients
Advanced Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jun 24, 2024 Accepting new patients
Evergreen Eye Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2024 Accepting new patients
Paceline Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2024 Accepting new patients
The Aesthetic Surgery Centre, PLLC CurrentSince Apr 20, 2024 Accepting new patients

Locations

1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644

1135 116th Ave NE
Ste 570
Bellevue, WA 98004
Phone (425) 451-7335

1900 Cooks Hill Rd
Centralia, WA 98531
Phone (360) 330-8627

12800 Bothell Everett Hwy
Ste 200
Everett, WA 98208
Phone (206) 259-3122

34719 6th Ave S
Federal Way, WA 98003
Phone (206) 212-2100

5801 Soundview Dr
Ste 156
Gig Harbor, WA 98335
Phone (253) 268-0720

2727 Hollycroft St
Ste 480
Gig Harbor, WA 98335
Phone (253) 858-0112

1301 4th Ave NW
Ste 301
Issaquah, WA 98027
Phone (425) 270-6363

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

2100 Little Mountain Ln
Mount Vernon, WA 98274
Phone (360) 416-6735

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1145 Broadway
Seattle, WA 98122

1101 Madison St
Ste 400
Seattle, WA 98104
Phone (206) 505-1230

2202 S Cedar St
Ste 100
Tacoma, WA 98405
Phone (253) 627-2900

2202 S Cedar St
Ste 150
Tacoma, WA 98405
Phone (253) 627-2900

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

502 S M St
Tacoma, WA 98405
Phone (253) 301-4953

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 128622 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

400 S 43Rd St
Renton, WA 98055-5714

Mailing address

2967 38TH Ave NE
Tacoma, WA 98422-2601
Phone (206) 931-6766

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 26, 2019.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1336784131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 38TH AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984222601",
            "telephone_number": "206-931-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555714",
            "telephone_number": "425-228-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSYUK",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "128622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.