Active NPI
Lisa Ann Bristow, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 48834
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (315) 299-5451
- NPI assigned
- Jul 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 48834 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
6314 Farmview LN
Cicero, NY 13039-8234
Phone (315) 699-2716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111108000701 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4789857780 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Joseph'S Physician Health PCGriffiss Ec, LLCSyracuse ASC LLC
Practice addresses (Care Compare)
104 Union Ave
806 807
Syracuse, NY 13203-1843
Phone (315) 422-4442
105 Dart Cir
Rome, NY 13441-4229
Phone (315) 533-5747
225 Greenfield Pkwy
Suite 105
Liverpool, NY 13088-6656
Phone (315) 451-6911
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111
Hospital & facility affiliations
- St Joseph'S Hospital Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 39.78 of 100
- Quality
- 24.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48834 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffiss Ec, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| St. Joseph'S Physician Health, P.C. | Current | Accepting new patients | |
| Syracuse ASC LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Chag Anesthesia PC | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451
225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918
739 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 470-7921
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
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.
-
- Anesthesiology Physician
- Rome, NY
- NPI 1487259545
Nurse Anesthetist, Certified Registered, NY
-
- Anesthesiology Physician
- Liverpool, NY
- NPI 1790591576
Nurse Anesthetist, Certified Registered, NY
-
- Ambulatory Surgical Clinic/Center
- Rome, NY
- NPI 1831484567
-
- Ambulatory Surgical Clinic/Center
- Liverpool, NY
- NPI 1265488563
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
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": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1790718336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6314 FARMVIEW LN",
"city": "CICERO",
"state": "NY",
"postal_code": "130398234",
"telephone_number": "315-699-2716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-299-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISTOW",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "48834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.