Individual provider Active NPI

Lisa C Carter, CRNA

  • Certified Registered Nurse Anesthetist
  • Pueblo, CO
National Provider Identifier
1821607938
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN213799 Issued in AZ
Practice address
408 N Main St FL 2
Pueblo, CO 81003-3123
Phone
(719) 595-7417
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN.0996019-CRNA CO
Certified Registered Nurse Anesthetist 367500000X RN213799 AZ Primary

Addresses

Primary practice location

408 N Main St FL 2
Pueblo, CO 81003-3123

Mailing address

7520 Baxter Ave
Pennsauken, NJ 08109-3230
Phone (856) 383-0404

Other practice location 1

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-1010

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address deb.blum@nphllc.com
Direct Messaging Address Jamie_estrada@parkviewmc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201228000248 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153733746 Reassigns benefits to 5 organizations
I20220601002042 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153733746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novus Colorado Professional CorporationGroup PAC ID 0840694774, 12 clinicians
Delta County Memorial HospitalGroup PAC ID 1850200601, 107 clinicians
Timberline Anesthesia Partners LLCGroup PAC ID 7719361104, 14 clinicians
San Juan Anesthesia PLLCGroup PAC ID 1052320850, 9 clinicians

Practice addresses (Care Compare)

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (800) 475-6236

1501 E 3Rd St
Delta Health
Delta, CO 81416-2815
Phone (970) 874-7681

800 S 3Rd St
Montrose, CO 81401-4212
Phone (970) 249-2211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN213799AZMDCertified Registered Nurse Anesthetist
APN.0996019-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince May 20, 2022 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2025 Accepting new patients
San Juan Anesthesia PLLC CurrentSince Jul 1, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 20, 2022 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Tomah Memorial Hospital Inc CurrentSince May 20, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince May 20, 2022 Accepting new patients
Timberline Anesthesia Partners LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

1120 Wellington Ave
Ste 206
Grand Junction, CO 81501
Phone (970) 243-7245

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

800 S 3rd St
Montrose, CO 81401
Phone (970) 240-2211

611 East Star Ct
Ste C
Montrose, CO 81401
Phone (970) 249-6842

400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

29980 Network Pl
Chicago, IL 60673

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

Interoperability endpoints

  • Direct secure messaging: jamie_estrada@parkviewmc.com

Organizations & group practices 12

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 5

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1821607938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 BAXTER AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081093230",
            "telephone_number": "856-383-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 N MAIN ST FL 2",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033123",
            "telephone_number": "719-595-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-1010",
            "fax_number": "720-321-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "LISA",
        "middle_name": "C",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0996019-CRNA",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "RN213799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deb.blum@nphllc.com",
            "affiliation": "N",
            "address_1": "8424 E Shea Blvd Ste 101",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852606662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jamie_estrada@parkviewmc.com",
            "affiliation": "N",
            "address_1": "408 N Main St Fl 2",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810033123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.

Verify at the official NPI Registry.