Lisa Christina Vellinga, RN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA000483 Issued in NV

Practice address

1299 Bertha Howe Ave
Mesquite, NV 89027-7500

Phone

(775) 336-7438

NPI assigned

Sep 9, 2013

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

Other names 1

• Lisa Christina Borom Other name

Medicare fee-for-service enrollment

Enrolled in NV, NY, UT, IN, NH5 enrollments

Enrollment records 5

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Nyx AnesthesiaGroup PAC ID 2769801109, 4 clinicians

U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307
• Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
• Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
• Highland Hospital Hospital, Rochester, NY, CCN 330164

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Registered Nurse

Practice roles (11 of 15)

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

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.

• Nyx Anesthesia

  • Anesthesiology Physician
  • Mesquite, NV
  • NPI 1508477381
  Medicare reassignment Care Compare group NPD Authorized official
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment Care Compare group NPD
• U of R Anesthesiology Group

  • Anesthesiology Physician
  • Rochester, NY
  • NPI 1609806488
  Medicare reassignment Care Compare group NPD
• Catholic Medical Center

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1003692112
  Medicare reassignment NPD
• Deaconess Hospital, Inc

  • Hospitalist Physician
  • Evansville, IN
  • NPI 1427097443
  Medicare reassignment NPD
• Premier Anesthesia of New York, P.C.

  • Anesthesiology Physician
  • Saranac Lake, NY
  • NPI 1063658961

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Vaughn Jones Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • St George, UT
  • NPI 1326424391

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Deaconess Hospital Inc

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1508723552
  NPD
• Deaconess Hospital, Inc

  • Anesthesiology Physician
  • Evansville, IN
  • NPI 1629162573

  Nurse Anesthetist, Certified Registered

  NPD
• Matrix Pathology and Laboratory Services PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Manchester, NH
  • NPI 1083157341
  NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD

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

• MMC of Nevada LLC

  • Critical Access Hospital
  • Mesquite, NV
  • NPI 1275588782
  Care Compare affiliation
• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Care Compare affiliation
• St. Luke'S Cornwall Hospital

  • General Acute Care Hospital
  • Newburgh, NY
  • NPI 1003923434
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1346285657
  Care Compare affiliation
• University of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1669126090
  Care Compare affiliation

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1366877433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021547",
            "telephone_number": "660-826-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BERTHA HOWE AVE",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890277500",
            "telephone_number": "775-336-7438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Mary Street",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477470001",
            "country_code": "US",
            "telephone_number": "812-450-2240",
            "fax_number": "812-450-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELLINGA",
        "first_name": "LISA",
        "middle_name": "CHRISTINA",
        "credential": "RN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-09",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28272044A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NV",
            "license": "CRNA000483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BOROM",
            "middle_name": "CHRISTINA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Certified Registered Nurse Anesthetist in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Certified Registered Nurse Anesthetist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.