Active NPI
Lisa K Donnelly, CRNA
- Certified Registered Nurse Anesthetist
- Concord, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 056066-23
- Practice address
- 250 Pleasant St.
Concord, NH 03301-7559 - Phone
- (603) 789-9103
- Fax
- (603) 227-7832
- NPI assigned
- Nov 6, 2006
- Last updated
- Mar 11, 2024
- 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 | 056066-23 | NH | Primary |
Addresses
Primary practice location
250 Pleasant St.
Concord, NH 03301-7559
Mailing address
250 Pleasant St
Concord, NH 03301-7559
Phone (603) 789-9103
Other practice location 1
1 Medical Center Dr
DHMC: Department of Anesthesia
Lebanon, NH 03756-1000
Phone (603) 650-5922
Other practice location 2
60 Commercial St Ste 201
Concord, NH 03301-5096
Phone (603) 789-9103
Other practice location 3
80 Highland St
Laconia, NH 03246-3235
Phone (603) 789-9103
Other practice location 4
2300 Southwood Dr
Nashua, NH 03063-1818
Phone (603) 577-4170
Other practice location 5
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015775 | Medicaid | VT |
Other names 1
- Lisa K Killam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Northeastern Ohio University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hitchcock Way
Manchester, NH 03104-4125
Phone (603) 695-2500
207 Stage Rd
Hampstead, NH 03841-2224
Phone 6033295222216
250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89 of 100
- Quality
- 73.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056066-23 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Dartmouth-Hitchcock Clinic | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Anesthesia Care Group PC | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Mary Hitchcock Memorial Hospital | Current | Accepting new patients | |
| Greater Hampstead Family Medicine, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Anesthesia Associates Professional Association | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1 Pillsbury St
Ste 202
Concord, NH 03301
Phone (603) 224-4776
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
250 Pleasant St
Ste 2
Concord, NH 03301
60 Commercial St
Ste 201
Concord, NH 03301
Phone (603) 789-9103
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
80 Highland St
Ste 2
Laconia, NH 03246
1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922
100 Hitchcock Way
Manchester, NH 03104
Phone (603) 629-1870
100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931
55 Bridge St
Manchester, NH 03101
88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325
2300 Southwood Dr
Nashua, NH 03063
Phone (603) 577-4170
Organizations & group practices 11
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.
-
dba Concord Hospital Medical Associates
- Emergency Medicine Physician
- Concord, NH
- NPI 1194778571
-
- Family Medicine Physician
- Hampstead, NH
- NPI 1740379940
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Lebanon, NH
- NPI 1548210198
-
- Anesthesiology Physician
- Concord, NH
- NPI 1881791150
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1629074224
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba Concord Hospital Psychiatric Unit
- Psychiatric Hospital Unit
- Concord, NH
- NPI 1124070966
-
dba Concord Hospital Physician Group
- General Practice Physician
- Concord, NH
- NPI 1801840764
-
dba The Doorway at Dartmouth-Hitchcock Lebanon
- Substance Use Disorder Rehabilitation Clinic/Center
- Lebanon, NH
- NPI 1124681846
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
-
dba Hampstead Hospital
- Psychiatric Hospital
- Hampstead, NH
- NPI 1699584219
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, NH
- NPI 1215988530
-
- General Acute Care Hospital
- Lebanon, NH
- NPI 1023092053
-
dba MHMH Regional Services
- General Acute Care Hospital
- Lebanon, NH
- NPI 1629788237
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1427127679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017559",
"telephone_number": "603-789-9103",
"fax_number": "602-227-7832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 PLEASANT ST.",
"city": "CONCORD",
"state": "NH",
"postal_code": "033017559",
"telephone_number": "603-789-9103",
"fax_number": "603-227-7832"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_2": "DHMC: Department of Anesthesia",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037561000",
"country_code": "US",
"telephone_number": "603-650-5922",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Commercial St Ste 201",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033015096",
"country_code": "US",
"telephone_number": "603-789-9103",
"fax_number": "603-227-7832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Highland St",
"address_purpose": "LOCATION",
"city": "Laconia",
"state": "NH",
"postal_code": "032463235",
"country_code": "US",
"telephone_number": "603-789-9103",
"fax_number": "603-227-7832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2300 Southwood Dr",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030631818",
"country_code": "US",
"telephone_number": "603-577-4170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Hitchcock Way",
"address_purpose": "LOCATION",
"city": "Manchester",
"state": "NH",
"postal_code": "031044125",
"country_code": "US",
"telephone_number": "603-695-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLY",
"first_name": "LISA",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "056066-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015775",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "KILLAM",
"middle_name": "K",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.