Lisa A Wunderlich, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

040076-23 Issued in NH

Practice address

100 Hitchcock Way
Manchester, NH 03104-4125

Phone

(603) 695-2500

NPI assigned

Nov 20, 2006

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 A Smith Former name

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.66 of 100Reported as apm

Quality

53.51

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as apm

Quality

73.23

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Amoskeag Anesthesia, PLLC

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1104883511

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates Professional Association

  • Anesthesiology Physician
  • Concord, NH
  • NPI 1881791150

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Concord Orthopaedics Professional Association

  • Orthopaedic Surgery Physician
  • Concord, NH
  • NPI 1437182490

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1023092053
  Medicare reassignment NPD
• North American Partners in Anesthesia New Hampshire LLP

  • Anesthesiology Physician
  • Nashua, NH
  • NPI 1306838701
  Medicare reassignment NPD
• Concord Orthopaedics Professional Association

  • Orthopaedic Surgery Physician
  • Derry, NH
  • NPI 1992581383
  NPD
• Dartmouth-Hitchcock Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lebanon, NH
  • NPI 1124681846
  NPD
• Mary Hitchcock Memorial Hospital

  • General Acute Care Hospital
  • Lebanon, NH
  • NPI 1629788237
  NPD
• Mary Hitchcock Memorial Hospital

  • Psychiatric Hospital
  • Hampstead, NH
  • NPI 1699584219
  NPD
• Nashua Anesthesia Partners

  • Anesthesiology Physician
  • Nashua, NH
  • NPI 1124073945
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1740354513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PLEASANT ST",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017559",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HITCHCOCK WAY",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044125",
            "telephone_number": "603-695-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Commercial St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033015096",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Highland St",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032463235",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Pleasant St.",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017559",
            "country_code": "US",
            "telephone_number": "603-789-9103",
            "fax_number": "603-227-7832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Southwood Dr",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030631818",
            "country_code": "US",
            "telephone_number": "603-577-4170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUNDERLICH",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "040076-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30343405",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "SMITH",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Wrenn-Kleiman, RD LD
• Elizabeth Wright
• Kaelin Reilly Wright, BA
• Andrew Wu, MD
• Grada Johanna Wunderl
• Dawn Ruth Wyman, LICSW
• Megan Emily Wynkoop
• Michael Wynne, MSW
• Chengen Xu, MD
• Y Transportation LLC

• Certified Registered Nurse Anesthetist in Manchester, NH
• Providers in Manchester, NH by specialty
• Certified Registered Nurse Anesthetist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.