Individual provider Active NPI

Lisa K Donnelly, CRNA

  • Certified Registered Nurse Anesthetist
  • Concord, NH
National Provider Identifier
1427127679
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
056066-23 Issued in NH
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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 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

IdentifierTypeStateIssuer
1015775MedicaidVT

Other names 1

  • Lisa K Killam Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061122000343 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830197011 Reassigns benefits to 6 organizations

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
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Greater Hampstead Family Medicine IncGroup PAC ID 4284734351, 30 clinicians
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

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 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
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

LicenseStateTypeSpecialty
056066-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Current Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Mar 25, 2024 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Anesthesia Care Group PC CurrentSince Aug 6, 2018 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Nov 18, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Nov 18, 2024 Accepting new patients
Greater Hampstead Family Medicine, Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Concord Hospital, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Anesthesia Associates Professional Association Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2016 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.

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.