Active NPI
Lisa McDonough, CRNA
- Certified Registered Nurse Anesthetist
- Midland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704263838
- Practice address
- 4000 Wellness Dr
Midland, MI 48670-6831 - Phone
- (989) 839-3000
- NPI assigned
- Sep 21, 2011
- Last updated
- Jul 21, 2022
- 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 | 4704263838 | MI | Primary |
Addresses
Primary practice location
4000 Wellness Dr
Midland, MI 48670-6831
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000
Other practice location 1
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-6237
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Current | Accepting new patients | |
| Mymichigan Medical Center Midland | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000
L4355
Columbus, OH 43260
Organizations & group practices 6
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 Covenant Healthcare
- Certified Registered Nurse Anesthetist
- Saginaw, MI
- NPI 1225151897
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Midland, MI
- NPI 1770668683
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Saginaw, MI
- NPI 1457306185
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Anesthesiology Physician
- Midland, MI
- NPI 1649010455
-
dba Ascension Medical Group Riverfront Cardiology
- Cardiovascular Disease Physician
- Saginaw, MI
- NPI 1467736132
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Covenant Healthcare
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1427331032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000",
"telephone_number": "989-839-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486706831",
"telephone_number": "989-839-3000"
}
],
"practiceLocations": [
{
"address_1": "1900 Columbus Ave",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "487086831",
"country_code": "US",
"telephone_number": "989-894-3795",
"fax_number": "989-891-8172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "LISA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704263838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.