Lisa Ann Ciampoli, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Belleville, IL
NPI 1720135833 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1720135833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209000389 (IL)
- Practice address
- 311 West Lincoln
Suite 300
Belleville, IL 62220-1921 - Phone
- (618) 233-7077
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 4
Medicare Care Compare profile
- 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 LLC
Specialists in Anesthesia PC
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
- HSHS Holy Family Hospital Inc
- Touchette Regional Hospital Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041295720 | IL | MD | Certified Registered Nurse Anesthetist |
| 209000389 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Current |
Accepting new patients | |
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Specialists in Anesthesia PC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| HSHS Medical Group Inc | Past | Accepting new patients | |
| Anesthesia Partners, LTD. | Past | Accepting new patients | |
| DM Anesthetists of Il, LLC | Past | Accepting new patients | |
| Figueroa and Associates Anesthesia Group, LTD. | Past | Accepting new patients | |
| Surgical Anesthesia Services of California | Past | Accepting new patients | |
| Granite City Physicians Corp | 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
- laciampo@yourcarecommunity.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 091017 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 041295720 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209000389 | IL | Yes |
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
- Lisa Ann Ehrhardt
Other providers in Belleville, IL
- Christopher Heffner,M.D. of Illinois, P.C.
- Lucy Ann Rogne Christopherson
- Kenechukwu Olufemi Chudy-Onwugaje
- Nnenna Judith Chukwuyem
- Jenna Marie Churnock
- Danielle Clark
- Hope Clark
- Clarkson Optometry Illinois PC
- Cassandra Jolene Claro
- Jaclyn Clauson
All providers in Belleville, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.