Individual provider Active NPI

Lynn M Pisarski, CRNA

  • Certified Registered Nurse Anesthetist
  • Detroit, MI
National Provider Identifier
1790048965
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704266066 Issued in MI
Practice address
3990 John R St
Detroit, MI 48201-2018
Phone
(313) 745-7600
Fax
(952) 442-3620
NPI assigned
Jun 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704266066 MI Primary

Addresses

Primary practice location

3990 John R St
Detroit, MI 48201-2018

Mailing address

Department 4676
Carol Stream, IL 60122-4676
Phone (952) 442-9770

Other names 1

  • Lynn M Garofalo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120829000578 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375790116 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conquest Pain Management LLCGroup PAC ID 6608167234, 5 clinicians
Pinnacle Anesthesia PLLCGroup PAC ID 8628471190, 37 clinicians
Northstar Anesthesia of Michigan PLLCGroup PAC ID 9638481591, 192 clinicians
Kuldip S Deogun MD PCGroup PAC ID 3678580966, 5 clinicians

Practice addresses (Care Compare)

15750 Northline Rd
Southgate, MI 48195-2378
Phone (734) 357-0505

1701 S Blvd E
Suite 300
Rochester Hills, MI 48307-6120
Phone (248) 844-9710

31995 Northwestern Hwy
Farmington Hills, MI 48334-1625
Phone (800) 527-6266

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (313) 745-3615

43145 Schoenherr Rd
Unit 13
Sterling Heights, MI 48313-1955
Phone (586) 997-5048

Hospital & facility affiliations

  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Anesthesia PLLC CurrentSince Aug 12, 2024 Accepting new patients
Conquest Pain Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Northstar Anesthesia of Michigan PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2015 Accepting new patients
Great Lakes Eye Surgery Center LLC CurrentSince Jun 5, 2025 Accepting new patients
Kuldip S. Deogun, MD, PC CurrentSince Jun 1, 2025 Accepting new patients
Great Lakes Eye Surgery LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

4 Columbus Ave
Ste 260
Bay City, MI 48708
Phone (989) 308-1840

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

375 Barclay Cir
Rochester Hills, MI 48307
Phone (248) 491-8894

2393 Schust Rd
Saginaw, MI 48603
Phone (989) 793-2820

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

29877 Telegraph Rd
Southfield, MI 48034
Phone (248) 352-1890

15750 Northline Rd
Southgate, MI 48195
Phone (248) 798-3130

43145 Schoenherr Rd
Unit 13
Sterling Heights, MI 48313
Phone (586) 997-5048

3290 W Big Beaver Rd
Ste 150
Troy, MI 48084
Phone (248) 792-6527

2333 Progress St
West Branch, MI 48661
Phone (989) 343-3178

400 10th St E
Waconia, MN 55387

Organizations & group practices 6

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1790048965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 4676",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601224676",
            "telephone_number": "952-442-9770",
            "fax_number": "952-442-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 JOHN R ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012018",
            "telephone_number": "313-745-7600",
            "fax_number": "952-442-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISARSKI",
        "first_name": "LYNN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704266066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "GAROFALO",
            "middle_name": "M",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.