Lisa K Wolterman, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R143801-1 Issued in MN

Practice address

1215 Pleasant Street
Suite 400
Des Moines, IA 50309-1418

Phone

(515) 241-5722

Fax

(515) 241-4403

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lisa K Bugge Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Des Moines Anesthesiologists PC

  • Anesthesiology Physician
  • Des Moines, IA
  • NPI 1073612016

  Nurse Anesthetist, Certified Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1528125556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT STREET",
            "address_2": "SUITE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091418",
            "telephone_number": "515-241-5722",
            "fax_number": "515-241-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT STREET",
            "address_2": "SUITE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091418",
            "telephone_number": "515-241-5722",
            "fax_number": "515-241-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTERMAN",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R143801-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0790683",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BUGGE",
            "middle_name": "K",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Wolfe, MD
• Irving Larry Wolfe, DO
• Jaime Leigh Wolfe, R.PH
• Lynley Anne Wolfe, LMSW
• Michael Wolnerman
• Keslie L Wolver
• Brenda L Wood-Clark
• Dawn Wood, LMSW
• Devin Wood
• Eric W Wood, DO

• Certified Registered Nurse Anesthetist in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.