Individual provider Active NPI

Justin Lasure, CRNA

  • Certified Registered Nurse Anesthetist
  • Somerset, PA
National Provider Identifier
1386354777
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
115510 Issued in WV
Practice address
225 S Center Ave
Somerset, PA 15501-2033
Phone
(814) 443-5000
NPI assigned
Nov 28, 2022
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 115510 WV Primary
Critical Care Medicine Registered Nurse 163WC0200X 98303 WV
Critical Care Medicine Registered Nurse 163WC0200X RN670587 PA

Addresses

Primary practice location

225 S Center Ave
Somerset, PA 15501-2033

Mailing address

PO Box 150
Meyersdale, PA 15552-0150

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230227001205 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466825294 Reassigns benefits to 1 organization
I20240923002909 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466825294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of West Virginia PLLCGroup PAC ID 2668750241, 124 clinicians
Upmc SomersetGroup PAC ID 1355235144, 18 clinicians
Novus Pennsylvania Professional CorporationGroup PAC ID 6800259631, 18 clinicians

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

225 S Ctr Ave
Somerset, PA 15501-2033
Phone (814) 443-5215

600 Somerset Ave
Windber, PA 15963-1331
Phone (814) 467-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
98303WVMDCritical Care Medicine Registered Nurse
115510WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Pennsylvania Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Sep 26, 2025 Accepting new patients
Upmc Somerset CurrentSince Sep 23, 2024 Accepting new patients
Upmc Somerset Current Accepting new patients
Northstar Anesthesia of West Virginia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2023 Accepting new patients
Upmc Somerset CurrentSince Sep 23, 2024 Accepting new patients
Windber Hospital, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

1421 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-2224

225 S Center Ave
Somerset, PA 15501
Phone (814) 443-5000

600 Somerset Ave
Windber, PA 15963
Phone (814) 467-3000

1340 Hal Greer Blvd
Huntington, WV 25701
Phone (304) 399-2960

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1386354777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "MEYERSDALE",
            "state": "PA",
            "postal_code": "155520150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S CENTER AVE",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012033",
            "telephone_number": "814-443-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASURE",
        "first_name": "JUSTIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-28",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "115510",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WV",
            "license": "98303",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "PA",
            "license": "RN670587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.