MARYELLEN LYMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053351767

MARYELLEN LYMAN (CRNA) is a healthcare provider. based in Hartford, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 000117 (CT). The NPI Number for MARYELLEN LYMAN (CRNA) is 1053351767

Main info

Female
51 Years Of Experience
Accepts Medicare Assignment
Name
MARYELLEN LYMAN (CRNA)
NPI
1053351767
Phone
(860) 714-6654
Address
114 WOODLAND ST
Enumeration Date
8 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607146654
Graduation Year
1975 (51 years ago)
PAC ID
8325210891
Group Practice PAC ID
8820083652
Professional Enrollment ID
I20111005000028
Address ID
CT061051208HA114XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

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Provider Addresses for MARYELLEN LYMAN (CRNA)

  • Saint Francis Hospital and Medical Center, 114, Woodland Street, Upper Albany Historic District, Hartford, Hartford County, Connecticut, 06105, United States

    HARTFORD, CT 061051208

    Phone: (860) 714-6654

    Fax: (860) 714-8110

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-10-05

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
I20111005000028ICertified Registered Nurse Anesthetist (Crna)CTTBD

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
01402Anesthesia for procedure for total knee joint replacement3737$0
01214Anesthesia for total hip replacement1414$0
View full utilization report →

Insurance plans in this area (ZIP 06105)

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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: 8820083652View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
-MA
-CT
Anesthesiology, Pain ManagementCT
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

What is the registry number for MARYELLEN LYMAN (CRNA)?
The registry entry for MARYELLEN LYMAN (CRNA) shows NPI 1053351767.
Quick check: is MARYELLEN LYMAN (CRNA) active?
Public NPPES data shows MARYELLEN LYMAN (CRNA) with an active NPI status right now.
Which specialty label fits MARYELLEN LYMAN (CRNA)?
NPPES ties MARYELLEN LYMAN (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARYELLEN LYMAN (CRNA)?
MARYELLEN LYMAN (CRNA) is associated with Hartford, Connecticut in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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