Lisa Susan Davis, CRNA, APRN
Individual provider Active NPI Certified Registered Nurse Anesthetist · Damariscotta, ME
NPI 1346560588 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1346560588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 06244323 (NH)
- Practice address
- 35 Miles St
Damariscotta, ME 04543-4047 - Phone
- (207) 563-1234
- Fax
- (603) 228-2113
- NPI assigned
- Jun 10, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 40
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Potomac Valley Hospital of W VA , Inc
Northstar Anesthesia of Delaware LLC
Geisinger Clinic
Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
100 Pin Oak LN
Keyser, WV 26726-5908
Phone (304) 597-3500
100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5738
311 4TH St
Lewistown, PA 17044-1316
Phone (717) 242-7600
640 S State St
Dover, DE 19901-3530
701 N Clayton St
Wilmington, DE 19805-3165
Phone (214) 687-0001
Hospital & facility affiliations
- Bayhealth Hospital, Sussex Campus
- Geisinger-Lewistown Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in ME, DE, WV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170906003811 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547394751 | Reassigns benefits to 3 organizations |
| I20231121003556 | DE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547394751 | Reassigns benefits to 4 organizations |
| I20250731001172 | WV | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0547394751 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA173018 | ME | MD | Certified Registered Nurse Anesthetist |
| 06244323 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| Northern Maine Medical Center | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Northern Maine Medical Center | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Amsurg Lewes Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Potomac Valley Hospital of W VA , Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Potomac Valley Hospital of WV, Inc. | Current |
Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Northstar Anesthesia of Delaware, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
34444 King Street Row
Lewes, DE 19958
Phone (302) 644-3852
424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100
35 Miles St
Damariscotta, ME 04543
Phone (207) 563-1234
194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
6 Glen Cove Dr
Rockport, ME 04856
Phone (207) 596-8000
100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790
100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA173018 | ME | |
| Certified Registered Nurse Anesthetist | 367500000X | 06244323 | NH | Yes |
| Certified Registered Nurse Anesthetist | 367500000X | RN529981L | PA |
Addresses
Primary practice location
35 Miles St
Damariscotta, ME 04543-4047
Mailing address
23 Mountainside Dr
Newbury, NH 03255-5205
Phone (603) 727-6253
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3096163 | Medicaid | NH |
Other providers in Damariscotta, ME
- Damariscotta
- Damariscotta Chiropractic
- Damariscotta Chiropractic
- Glen Sanford Davis
- Kathryn D Davis
- Cathy Davison
- Misti Day
- Lisa Marie Dayringer
- Phyllis A. Degen
- Molly Delaney
All providers in Damariscotta, ME · Certified Registered Nurse Anesthetist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.