Lisa Russell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Practice address

2200 Fort Jesse Rd
Suite 240
Normal, IL 61761-6286

Phone

(309) 268-9300

Fax

(309) 268-0575

NPI assigned

Jan 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Pain Services LLCGroup PAC ID 6507930526, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Anesthesia Pain Services LLC

  • Anesthesiology Physician
  • Streator, IL
  • NPI 1790075489
  Medicare reassignment Care Compare group NPD
• Tcom Specialty Physicians, LLC

  • Anesthesiology Physician
  • Bloomington, IL
  • NPI 1144712563
  Medicare reassignment
• Anesthesiology Consultants LTD

  • Anesthesiology Physician
  • Normal, IL
  • NPI 1346282522

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881672582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD",
            "address_2": "SUITE 240",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616286",
            "telephone_number": "309-268-9300",
            "fax_number": "309-268-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD",
            "address_2": "SUITE 240",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616286",
            "telephone_number": "309-268-9300",
            "fax_number": "309-268-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LISA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Ancell Rosenberg, DO
• Laurie A Rosson, CST
• Shelley R. Ruch, CST
• Marie Rupert, PHARMD
• Cara Russell, LPN
• Sonya A Russo, C.N.M., W.H.N.P.
• Maria Fernanda Saavedra, M.D.
• Tamara Sagadore, ATC
• Saint Francis Medical Center
• Mila Rose Sajovec, BSW

• Certified Registered Nurse Anesthetist in Normal, IL
• Providers in Normal, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.