Active NPI
Kerri Elizabeth Lisi, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 528578
- Practice address
- 736 Irving Ave
Syracuse, NY 13210-1602 - Phone
- (315) 470-7111
- NPI assigned
- Dec 28, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 528578 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 528578 | NY | Primary |
Addresses
Primary practice location
736 Irving Ave
Syracuse, NY 13210-1602
Mailing address
40 Front St., Suite C
Riverside Associates in Anesthesia
Binghamton, NY 13905
Phone (607) 722-7264
Other practice location 1
169 Riverside Drive
Our Lady of Lourdes Hospital
Binghamton, NY 13905
Phone (607) 798-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111
Hospital & facility affiliations
- Crouse Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 528578 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology & Hepatology of Central New York, PC | Current | Accepting new patients | |
| Digestive Disease Center of Central New York, LLC | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
Organizations & group practices 4
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
- Melville, NY
- NPI 1649264706
-
- Gastroenterology Physician
- Liverpool, NY
- NPI 1043202641
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Ambulatory Surgical Clinic/Center
- Liverpool, NY
- NPI 1053505511
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1437489382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 FRONT ST., SUITE C",
"address_2": "RIVERSIDE ASSOCIATES IN ANESTHESIA",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-722-7264",
"fax_number": "607-722-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101602",
"telephone_number": "315-470-7111"
}
],
"practiceLocations": [
{
"address_1": "169 Riverside Drive",
"address_2": "Our Lady of Lourdes Hospital",
"address_purpose": "LOCATION",
"city": "Binghamton",
"state": "NY",
"postal_code": "13905",
"country_code": "US",
"telephone_number": "607-798-5111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LISI",
"first_name": "KERRI",
"middle_name": "ELIZABETH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-28",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "528578",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "528578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.