Individual provider Active NPI

Lisa A White, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1417965807
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
67714 Issued in OK
Practice address
8100 S Walker Ave BLDG C
Oklahoma City, OK 73139-9404
Phone
(405) 602-6500
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 67714 OK Primary

Addresses

Primary practice location

8100 S Walker Ave BLDG C
Oklahoma City, OK 73139-9404

Mailing address

6701 NW 178TH St
Edmond, OK 73012-8741

Other practice location 1

3324 French Park Dr
Ste b
Edmond, OK 73034-7269
Phone (405) 715-3610

Other practice location 2

901 N Porter Ave
Norman, OK 73071-6482
Phone (405) 307-1000

Other practice location 3

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 402-2261

Other practice location 4

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

Other identifiers 1

IdentifierTypeStateIssuer
100782550AMedicaidOK

Other names 1

  • Lisa A Dubicki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060504000350 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658381678 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Regional Providers Specialty CareGroup PAC ID 5496900706, 143 clinicians
Anesthesia of Enid LLCGroup PAC ID 5193823631, 12 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

3101 W Tecumseh Rd
100 W Norm Endos
Norman, OK 73072-1816
Phone (405) 515-5900

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 233-2300

8100 S Walker Ave
BLDG C
Oklahoma City, OK 73139-9404
Phone (405) 602-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
67714OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Norman Regional Providers Specialty Care CurrentSince Sep 7, 2019 Accepting new patients
Anesthesia of Enid LLC Anesthesiology CurrentSince Jul 28, 2017 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Aug 26, 2023 Accepting new patients
Anesthesia Management Solutions of Oklahoma PLLC Anesthesiology CurrentSince Mar 11, 2019 Accepting new patients
Anesthesia Medical Professionals, PLLC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients

Locations

2100 W Iowa Ave
Chickasha, OK 73018
Phone (405) 224-2100

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3101 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 360-2777

1125 N Porter Ave
Ste 304
Norman, OK 73071
Phone (405) 360-2799

3101 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 364-5900

1125 N Porter Ave
Ste 301
Norman, OK 73071
Phone (405) 360-2777

11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000

5925 NW 139th St
Oklahoma City, OK 73142
Phone (405) 621-8800

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1417965807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 NW 178TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730128741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 S WALKER AVE BLDG C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399404",
            "telephone_number": "405-602-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3324 French Park Dr",
            "address_2": "Ste b",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730347269",
            "country_code": "US",
            "telephone_number": "405-715-3610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 N Porter Ave",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730716482",
            "country_code": "US",
            "telephone_number": "405-307-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 S Monroe St",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737017211",
            "country_code": "US",
            "telephone_number": "580-402-2261",
            "fax_number": "405-758-5582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Stonecipher Dr",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748203439",
            "country_code": "US",
            "telephone_number": "580-436-3980",
            "fax_number": "580-421-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "67714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100782550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DUBICKI",
            "middle_name": "A",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.