Active NPI
Lisa K. Stewart, CRNA
- Certified Registered Nurse Anesthetist
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4771-033
- Practice address
- 3400 E Racine St
Janesville, WI 53546-2344 - Phone
- (608) 374-8000
- Fax
- (608) 373-8280
- NPI assigned
- Dec 8, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4771-033 | WI | Primary |
Addresses
Primary practice location
3400 E Racine St
Janesville, WI 53546-2344
Mailing address
3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 374-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61274 | Other | WI | DEAN HEALTH INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3215 N N Hills Blvd
Fayetteville, AR 72703-4424
Phone (479) 463-1000
Hospital & facility affiliations
- Washington Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4771-033 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Arkansas Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Frontier Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000
3215 N Northhills Blvd
Ste B
Fayetteville, AR 72703
Phone (479) 463-1000
3314 S 70th St
Fort Smith, AR 72903
Phone (479) 424-2744
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Fayetteville, AR
- NPI 1932519485
AR, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Fort Smith, AR
- NPI 1497350508
AR, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fayetteville, AR
- NPI 1083609150
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1407124126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462344",
"telephone_number": "608-374-8000",
"fax_number": "608-373-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462344",
"telephone_number": "608-374-8000",
"fax_number": "608-373-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "LISA",
"middle_name": "K.",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-08",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4771-033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "61274",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.