Active NPI
Lisa Wilkerson
- Certified Registered Nurse Anesthetist
- Pascagoula, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R815668
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-5000
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 117135-23 | NH | |
| Certified Registered Nurse Anesthetist | 367500000X | R815668 | MS | Primary |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Other practice location 1
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LW00114294 | Medicaid | MS | |
| 430067914 | Other | RAILROAD MEDICARE | |
| 640942692 | Other | BLUE CROSS OF MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, ID, ME, NH
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000
4105 Hospital St
Suite 112B
Pascagoula, MS 39581-5304
Phone (228) 938-0699
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117135-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Pain Consultants of Alabama, LLC | Current | Accepting new patients | |
| Pain Consultants of Alabama, LLC | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| St Alphonsus Professional Medical Services LLC | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| Jackson County Anesthesia | Current | Accepting new patients | |
| Singing River Gulfport | Current | Accepting new patients | |
| Singing River Health System | Current | Accepting new patients | |
| Champion Anesthesia Consultants, PLLC | Current | Accepting new patients | |
| Coastal Anesthesia, P.C. | Current | Accepting new patients | |
| Pain Consultants ASC LLC | Past | Accepting new patients |
Locations
3610 Springhill Memorial Dr N
#D
Mobile, AL 36608
Phone (251) 342-3000
3610 Springhill Memorial Dr N
Mobile, AL 36608
Phone (251) 344-9630
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
489 State St
Bangor, ME 04401
Phone (207) 973-8837
1720B Medical Park Dr
Biloxi, MS 39532
Phone (228) 396-9161
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
4105 Hospital St
Ste 112A
Pascagoula, MS 39581
Phone (228) 938-0700
4105 Hospital St
Ste 112B
Pascagoula, MS 39581
Phone (228) 938-0699
Organizations & group practices 17
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.
-
dba Comprehensive Pain and Rehabilitation
- Pain Medicine Physician
- Pascagoula, MS
- NPI 1659312007
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1922159219
-
dba Singing River Gulfport Anesthesia
- Anesthesiology Physician
- Gulfport, MS
- NPI 1780312504
-
dba Singing River Gulfport Ambulatory
- Multi-Specialty Clinic/Center
- Gulfport, MS
- NPI 1861010159
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
dba Singing River Anesthesia
- Anesthesiology Physician
- Pascagoula, MS
- NPI 1740918937
-
- Anesthesiology Physician
- Mobile, AL
- NPI 1588637169
-
dba SAMG Anesthesia
- Anesthesiology Physician
- Boise, ID
- NPI 1386677524
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775088000000",
"number": "1366579047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2809 DENNY AVE",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395815301",
"telephone_number": "228-809-5000"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5000",
"fax_number": "603-640-1228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKERSON",
"first_name": "LISA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2026-04-02",
"certification_date": "2026-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "117135-23",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R815668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LW00114294",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430067914",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MS",
"identifier": "640942692",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.