Individual provider Active NPI

Lisa A Musacchia, CRNA

  • Certified Registered Nurse Anesthetist
  • El Paso, TX
National Provider Identifier
1831120864
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
039444 Issued in NC
Practice address
10301 Gateway Blvd W
El Paso, TX 79925-7701
Phone
(915) 543-2424
Fax
(915) 533-2568
NPI assigned
Jul 6, 2006
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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 039444 NC Primary

Addresses

Primary practice location

10301 Gateway Blvd W
El Paso, TX 79925-7701

Mailing address

4625 E Desert Cove Ave
Phoenix, AZ 85028-3028
Phone (910) 352-6613

Other identifiers 2

IdentifierTypeStateIssuer
176814501MedicaidTX
71857800MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170329001732 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224073648 Reassigns benefits to 8 organizations
I20190716003482 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224073648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039444NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North Valley Endoscopy Center LLC CurrentSince Aug 15, 2020 Accepting new patients
Dec Anesthesia LLC CurrentSince Jun 2, 2019 Accepting new patients
Coronado Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Swan Gastroenterology, P.C. CurrentSince Mar 10, 2021 Accepting new patients
Anesthesia Partners of Arizona LLC CurrentSince Dec 1, 2019 Accepting new patients
Amsurg North Valley Anesthesia LLC CurrentSince Feb 8, 2017 Accepting new patients
Summit Anesthesia Services PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2021 Accepting new patients
Sunset Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2017 Accepting new patients
Pinnacle Global Health LLC Past Accepting new patients
East Valley Endoscopy LLC PastSince Apr 1, 2017 Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
El Paso Anesthesiology, P.a. Past Accepting new patients
Mesa Az Endoscopy ASC LLC PastSince Oct 17, 2021 Accepting new patients

Locations

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

6020 E Arbor Ave
Ste 105
Mesa, AZ 85206
Phone (480) 830-2005

603 W Baseline Rd
Ste 101
Mesa, AZ 85210
Phone (480) 969-0405

15255 N 40th St
Ste 157
Phoenix, AZ 85032
Phone (602) 482-1001

1902 W Union Hills Dr
Unit 41340
Phoenix, AZ 85080

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

349 E Coronado Rd
Phoenix, AZ 85004
Phone (602) 266-5678

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4605 E Elwood St
Ste 500
Phoenix, AZ 85040
Phone (469) 998-7443

1505 N Swan Rd
Ste 121
Tucson, AZ 85712
Phone (520) 795-3090

20 Burton Hills Blvd
Ste 500
Nashville, TN 37215
Phone (615) 685-1283

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1831120864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 E DESERT COVE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283028",
            "telephone_number": "910-352-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257701",
            "telephone_number": "915-543-2424",
            "fax_number": "915-533-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSACCHIA",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "039444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176814501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71857800",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.