Individual provider Active NPI

Lisa A. Moser, CRNA

  • Certified Registered Nurse Anesthetist
  • Newark, DE
National Provider Identifier
1902002207
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
L6-0A00739 Issued in DE
Practice address
4755 Ogletown Stanton Road
Newark, DE 19718-1320
Phone
(302) 733-1000
Fax
(302) 733-2685
NPI assigned
Jun 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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 L6-0A00739 DE Primary
Certified Registered Nurse Anesthetist 367500000X L6DA00739 DE

Addresses

Primary practice location

4755 Ogletown Stanton Road
Newark, DE 19718-1320

Mailing address

2 Reads Way
Ste. 201
New Castle, DE 19720-1630
Phone (302) 709-4709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151112001822 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214103753 Reassigns benefits to 4 organizations
I20241121004024 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 7214103753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Delaware LLCGroup PAC ID 8022428416, 125 clinicians
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364
Phone (302) 430-5738

640 S State St
Dover, DE 19901-3530
Phone (302) 744-4700

701 N Clayton St
Wilmington, DE 19805-3165
Phone (214) 687-0001

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6DA00739DEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Jan 2, 2017 Accepting new patients
Anesthesia Services PA CurrentSince Oct 26, 2015 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Sep 2, 2023 Accepting new patients
Anesthesia Assoc of Maryland CurrentSince Sep 9, 2024 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Northstar Anesthesia of Delaware, LLC Nurse Anesthetist, Certified Registered CurrentSince May 29, 2025 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jan 2, 2017 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

2 Reads Way
Ste 201
New Castle, DE 19720
Phone (302) 709-4504

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

101 Milford St
Salisbury, MD 21804
Phone (410) 749-9290

804 Snow Hill Rd
Salisbury, MD 21804
Phone (410) 543-7599

450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642

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.

Hospital & facility affiliations 2

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463702400000",
    "number": "1902002207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 READS WAY",
            "address_2": "STE. 201",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201630",
            "telephone_number": "302-709-4709",
            "fax_number": "302-709-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197181320",
            "telephone_number": "302-733-1000",
            "fax_number": "302-733-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER",
        "first_name": "LISA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-23",
        "last_updated": "2016-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6-0A00739",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L6DA00739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.