Individual provider Active NPI

Lisbeth Blaine Megale, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Collins, CO
National Provider Identifier
1669943676
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9374817 Issued in FL
Practice address
3702 Automation Way
Fort Collins, CO 80525-5737
Phone
(352) 895-2266
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 9374817 FL
Certified Registered Nurse Anesthetist 367500000X 9374817 FL Primary

Addresses

Primary practice location

3702 Automation Way
Fort Collins, CO 80525-5737

Mailing address

3702 Automation Way
Fort Collins, CO 80525-5737
Phone (352) 895-2266

Other practice location 1

1236 E Elizabeth St
Fort Collins, CO 80524-4000
Phone (352) 895-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190514000146 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618210758 Reassigns benefits to 1 organization
I20230207001594 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618210758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians

Practice addresses (Care Compare)

1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9374817FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Colorado Anesthesia Professionals PLLC CurrentSince Apr 1, 2019 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients

Locations

3702 Automation Way
Fort Collins, CO 80525
Phone (352) 895-2266

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

3702 Automation Way
Ste 103
Fort Collins, CO 80525
Phone (970) 922-3622

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

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.

Hospital & facility affiliations 1

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": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1669943676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 AUTOMATION WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255737",
            "telephone_number": "352-895-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 AUTOMATION WAY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255737",
            "telephone_number": "352-895-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 E Elizabeth St",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805244000",
            "country_code": "US",
            "telephone_number": "352-895-2266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEGALE",
        "first_name": "LISBETH",
        "middle_name": "BLAINE",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "FL",
            "license": "9374817",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9374817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.