Active NPI
Lydia Vanwormer
- Certified Registered Nurse Anesthetist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 699344
- Practice address
- 2200 S Houghton Rd
Tucson, AZ 85748-7632 - Phone
- (520) 543-6100
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 257519 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 699344 | NY | Primary |
Addresses
Primary practice location
2200 S Houghton Rd
Tucson, AZ 85748-7632
Mailing address
2017 Copper Leaf Pkwy
Apt. 207
Durham, NC 27703-7749
Phone (850) 501-8316
Other practice location 1
525 E 68th St
New York, NY 10065-4870
Phone (212) 746-5454
Other practice location 2
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5000
Other names 1
- Lydia Wunsch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OK, AZ
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Duke University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 229-2657
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.53 of 100
- Quality
- 90
- Improvement activities
- 20
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 257519 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Antigua Anesthesia Management, LLC | Current | Accepting new patients | |
| Western Oklahoma Anesthesia Consultants PLLC | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| Northern Anesthesia Providers PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients |
Locations
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000
430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
100 SE 59th St
Oklahoma City, OK 73129
Phone (405) 364-9789
10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172
111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791
3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551
900 17th St
Woodward, OK 73801
Phone (405) 610-4411
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Anesthesiology Physician
- Bullhead City, AZ
- NPI 1912502055
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, OK
-
- Anesthesiology Physician
- Petoskey, MI
- NPI 1396834628
-
- Anesthesiology Physician
- Elk City, OK
- NPI 1881102614
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1487607784
-
- General Acute Care Hospital
- Sahuarita, AZ
- NPI 1851927669
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1750778221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 COPPER LEAF PKWY",
"address_2": "APT. 207",
"city": "DURHAM",
"state": "NC",
"postal_code": "277037749",
"telephone_number": "850-501-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 S HOUGHTON RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857487632",
"telephone_number": "520-543-6100"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-5454",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Jefferson Ave SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495034502",
"country_code": "US",
"telephone_number": "616-685-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANWORMER",
"first_name": "LYDIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "257519",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "699344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "WUNSCH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.