Individual provider Active NPI

Malissa M. Lynn, APRN.CRNA

  • Certified Registered Nurse Anesthetist
  • Warren, OH
National Provider Identifier
1831652031
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019939 Issued in OH
Practice address
1350 E Market St
Warren, OH 44483-6608
Phone
(330) 647-0127
NPI assigned
Apr 13, 2019
Last updated
Sep 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN11010463 FL
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019939 OH Primary
Anesthesiology Physician 207L00000X 019939 OH

Addresses

Primary practice location

1350 E Market St
Warren, OH 44483-6608

Mailing address

1350 E Market St
Warren, OH 44483-6608
Phone (330) 647-0127

Other practice location 1

1261 S Tamiami Trl
Sarasota, FL 34239-2219
Phone (941) 366-1164

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191219001547 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284068503 Reassigns benefits to 3 organizations
I20210203001817 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284068503 Reassigns benefits to 1 organization
I20260601003966 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4284068503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bel-Park Anesthesia Associates, Inc.Group PAC ID 8628974904, 158 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3658

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

9100 Babcock Blvd
Pittsburgh, PA 15237-5815
Phone (412) 367-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019939OHMDAnesthesiology Physician
APRN11010463FLMDCertified Registered Nurse Anesthetist
APRN.CRNA.019939OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Intensive Care Consultants,Inc. Anesthesiology CurrentSince Jan 21, 2022 Accepting new patients
Bel-Park Anesthesia Associates, Inc. Anesthesiology CurrentSince Jan 15, 2025 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Jan 21, 2022 Accepting new patients
Sarasota Anesthesiologists, PA Anesthesiology CurrentSince Jan 20, 2021 Accepting new patients
Keystone Anesthesia Consultants, LTD Anesthesiology CurrentSince Sep 1, 2022 Accepting new patients
Sarasota Anesthesia PastSince Jan 1, 2021 Accepting new patients

Locations

1261 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 366-1164

1941 Waldemere St
Sarasota, FL 34239
Phone (941) 366-2360

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

2580 Elm Rd NE
Bldg A
Cortland, OH 44410
Phone (330) 841-1011

1350 E Market St
Warren, OH 44483
Phone (330) 841-5969

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

740 E State St
Sharon, PA 16146
Phone (724) 983-1980

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1831652031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-647-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836608",
            "telephone_number": "330-647-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392219",
            "country_code": "US",
            "telephone_number": "941-366-1164",
            "fax_number": "941-365-1387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNN",
        "first_name": "MALISSA",
        "middle_name": "M.",
        "credential": "APRN.CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11010463",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019939",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "019939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.