LISA ANN NYDAM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1316096985

LISA ANN NYDAM (CRNA) is a healthcare provider. based in Littleton, Colorado. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 3217 (CA). The NPI Number for LISA ANN NYDAM (CRNA) is 1316096985

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LISA ANN NYDAM (CRNA)
NPI
1316096985
Phone
(925) 830-8485
Address
7305 S PLATTE RIVER PKWY
Enumeration Date
10 January 2007
Last Update Date
8 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7196361201
Graduation Year
2004 (22 years ago)
PAC ID
7618914797
Group Practice PAC ID
2961484365
Professional Enrollment ID
I20140327000732
Address ID
CO809076262CO2920XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

801 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CO

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Provider Addresses for LISA ANN NYDAM (CRNA)

  • 7305, South Platte River Parkway, Littleton, Arapahoe County, Colorado, 80120, United States

    LITTLETON, CO 801202911

    Phone: (925) 830-8485

    Type: Mailing

  • 1001, Southpark Drive, SouthPark, Littleton, Arapahoe County, Colorado, 80120, United States

    LITTLETON, CO 801205641

    Phone: (303) 722-8789

    Fax: (303) 722-2935

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($186).

Total Amount

$360

General + Research + Ownership

Payments

17

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140327000732ICertified Registered Nurse Anesthetist (Crna)COTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope8282$0
00812Anesthesia for exam of colon using an endoscope5555$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2828$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 80120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961484365View full group profile
NameSpecialtyState
Internal Medicine, GastroenterologyCO
Gastroenterology, Internal MedicineCO
G A S T R O E N T E R O L O G YCO
Certified Registered Nurse Anesthetist (Crna)TX
Physician AssistantIL
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)CO
Certified Registered Nurse Anesthetist (Crna)TX
-CO
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What is LISA ANN NYDAM (CRNA)'s NPI number?
LISA ANN NYDAM (CRNA)'s NPI is 1316096985 — the number used across U.S. healthcare to identify this provider.
Is LISA ANN NYDAM (CRNA) still an active registrant?
LISA ANN NYDAM (CRNA) carries an active NPI according to the public dataset.
What area of care is associated with LISA ANN NYDAM (CRNA)?
LISA ANN NYDAM (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is LISA ANN NYDAM (CRNA) located near Littleton?
LISA ANN NYDAM (CRNA) currently maps to Littleton, Colorado in this extract.
When was this NPI issued?
Enumeration for LISA ANN NYDAM (CRNA) is noted as January 10, 2007 where the registry provides it.