Active NPI
Sharon Therese Lillge, CRNA
- Certified Registered Nurse Anesthetist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 50742
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 433-7411
- NPI assigned
- Mar 28, 2007
- Last updated
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 50742 | WI | Primary |
| Registered Nurse | 163W00000X | 120815-030 | WI |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
W2153 Lau Rd
Kaukauna, WI 54130-9229
Phone (920) 788-0881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 W American Dr
Neenah, WI 54956-1405
Phone (920) 430-8113
2020 S Webster Ave
Accounting
Green Bay, WI 54301-3505
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3635 | WI | MD | Psychologist |
| 120815-030 | WI | MD | Registered Nurse |
| 50742 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Bay Anesthesia Assoc. SC | Current | Accepting new patients | |
| Osms Anesthesia LLC | Current | Accepting new patients | |
| Bellin Anesthesia Associates, S.C. | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026
2223 Lime Kiln Rd
Ste 1
Green Bay, WI 54311
Phone (920) 468-0246
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
Bin 88263
Milwaukee, WI 53288
Bin 88848
Milwaukee, WI 53288
1205 West American Dr
Neenah, WI 54956
Phone (920) 727-8144
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
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.
-
- Pain Medicine (Anesthesiology) Physician
- Green Bay, WI
- NPI 1558318410
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1447017983
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1023065836
-
dba FMC Kewaunee
- Rural Health Clinic/Center
- Kewaunee, WI
- NPI 1699737379
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1447379060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W2153 LAU RD",
"city": "KAUKAUNA",
"state": "WI",
"postal_code": "541309229",
"telephone_number": "920-788-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-433-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILLGE",
"first_name": "SHARON",
"middle_name": "THERESE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "50742",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "120815-030",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.