Individual provider Active NPI

Lisa Ann Ciampoli, CRNA

  • Certified Registered Nurse Anesthetist
  • Belleville, IL
National Provider Identifier
1720135833
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209000389 Issued in IL
Practice address
311 West Lincoln
Suite 300
Belleville, IL 62220-1921
Phone
(618) 233-7077
NPI assigned
Jan 4, 2007
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 091017 MO
Certified Registered Nurse Anesthetist 367500000X 041295720 IL
Certified Registered Nurse Anesthetist 367500000X 209000389 IL Primary

Addresses

Primary practice location

311 West Lincoln
Suite 300
Belleville, IL 62220-1921

Mailing address

13523 Barrett Parkway Drive
Suite 104
Ballwin, MO 63021-3802
Phone (636) 938-6868

Other names 1

  • Lisa Ann Ehrhardt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051005000522 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971538208 Reassigns benefits to 3 organizations
I20070416000515 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971538208 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Specialists in Anesthesia PCGroup PAC ID 2567369473, 7 clinicians

Practice addresses (Care Compare)

200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100

5900 Bond Ave
Centreville, IL 62207-2326
Phone (618) 332-5480

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041295720ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 21, 2016 Accepting new patients
Specialists in Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Aug 12, 2022 Accepting new patients
Anesthesia Partners, LTD. Past Accepting new patients
HSHS Medical Group Inc Past Accepting new patients
Granite City Physicians Corp Past Accepting new patients
Surgical Anesthesia Services of California Past Accepting new patients
DM Anesthetists of Il, LLC Past Accepting new patients
Figueroa and Associates Anesthesia Group, LTD. Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

12 Ginger Creek Pkwy
Glen Carbon, IL 62034
Phone (618) 656-8200

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

325 Spring St
Redbud, IL 62278
Phone (618) 282-5165

17300 North Outer 40 Rd
Ste 100
Chesterfield, MO 63005
Phone (314) 865-7992

3933 S Broadway
Saint Louis, MO 63118
Phone (314) 865-3333

16 Chamber Dr
Washington, MO 63090
Phone (636) 239-9122

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Interoperability endpoints

  • Direct secure messaging: laciampo@yourcarecommunity.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1720135833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13523 BARRETT PARKWAY DRIVE",
            "address_2": "SUITE 104",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630213802",
            "telephone_number": "636-938-6868",
            "fax_number": "636-938-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 WEST LINCOLN",
            "address_2": "SUITE 300",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201921",
            "telephone_number": "618-233-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMPOLI",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "091017",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041295720",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "EHRHARDT",
            "middle_name": "ANN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.