Lisa M Bagley, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Westwood, MA
NPI 1386889616 · NPPES record last updated May 6, 2019
Key facts
- NPI
- 1386889616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 232292 (MA)
- Practice address
- 690 Canton St
Suite 325
Westwood, MA 02090-2321 - Phone
- (781) 407-7713
- NPI assigned
- Dec 16, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHMC Anesthesia Foundation Inc
Massachusetts General Physicians Organization Inc
Practice addresses (Care Compare)
300 Longwood Ave
Boston, MA 02115-5724
Phone (617) 355-6000
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090108000093 | MA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1153484753 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current |
Accepting new patients | |
| CHMC Anesthesia Foundation Inc | Current |
Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current |
Accepting new patients |
Locations
300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 232292 | MA | Yes |
Addresses
Primary practice location
690 Canton St
Suite 325
Westwood, MA 02090-2321
Mailing address
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone (781) 407-7713
Other practice location 1
40 2nd Ave
Waltham, MA 02451-1132
Phone (781) 487-2990
Other providers in Westwood, MA
- Athina-Eleni G. Mavroudhis, LMHC, Inc.
- Rafik R Attia
- Kathryn L Austin
- Lisa Ann Azzoli
- Andrew Bachelor
- David Bangura
- Shauna L Basil
- David Batal
- Laura Batalis
- Jonathan Batlle
All providers in Westwood, MA · Certified Registered Nurse Anesthetist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2019. 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.