Individual provider Active NPI

Lisa Ann Mathison, CRNA

  • Certified Registered Nurse Anesthetist
  • Fredericksburg, VA
National Provider Identifier
1508967373
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024166416 Issued in VA
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-7614
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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 0024166416 VA Primary

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

3100 Spring Forest Rd Ste 130
Raleigh, NC 27616-2880
Phone (888) 280-9533

Other practice location 1

501 Sunset Ln
Culpeper, VA 22701-3917
Phone (703) 396-5292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050404001100 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368859 Reassigns benefits to 6 organizations
I20141009001549 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1052368859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Old Dominion Anesthesia LLCGroup PAC ID 8820462765, 57 clinicians
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Uva Community Health Medical Group LLCGroup PAC ID 4688587967, 339 clinicians

Practice addresses (Care Compare)

1139 E High St
Suite 105
Charlottesville, VA 22902-4849
Phone (434) 817-8484

500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone (434) 654-7000

501 Sunset LN
Culpeper, VA 22701-3917
Phone (703) 396-5293

Hospital & facility affiliations

  • Sentara Martha Jefferson Hospital Hospital, Charlottesville, VA, CCN 490077
  • Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SMG Anesthesia Specialists LLC CurrentSince Sep 11, 2021 Accepting new patients
Professional Anesthesia Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 20, 2016 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Apr 1, 2015 Accepting new patients
Mathison Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Mar 1, 2026 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Apr 1, 2015 Accepting new patients
Old Dominion Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2023 Accepting new patients
Home Physicians Baltimore, PC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

1302 Rising Ridge Rd
Ste 1
Mount Airy, MD 21771

400 10th St E
Waconia, MN 55387

1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750

3914 Centreville Rd
Ste 350
Chantilly, VA 20151
Phone (703) 263-3393

4100 Olympia Cir
Ste 201CR
Charlottesvle, VA 22911

2050 Abbey Rd
Ste D
Charlottesvle, VA 22911
Phone (434) 218-5090

1139 E High St
Ste 105
Charlottesvle, VA 22902
Phone (434) 817-8484

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1500 Dixon St
Ste 101
Fredericksburg, VA 22401
Phone (540) 371-5349

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

1501 Maple Ave
Ste 300
Richmond, VA 23226
Phone (804) 287-7878

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

525 Amherst St
Winchester, VA 22601
Phone (336) 420-7472

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1508967373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "888-280-9533",
            "fax_number": "919-873-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-7614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Sunset Ln",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "227013917",
            "country_code": "US",
            "telephone_number": "703-396-5292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHISON",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.