JULIA LISI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1760055651

JULIA LISI (CRNA) is a healthcare provider. based in Trumbull, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 150862 (CT). The NPI Number for JULIA LISI (CRNA) is 1760055651

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
JULIA LISI (CRNA)
NPI
1760055651
Phone
(203) 610-9553
Address
83 HORSE TAVERN RD
Enumeration Date
20 July 2021
Last Update Date
5 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8602820833
Graduation Year
2024 (2 years ago)
PAC ID
4789129560
Group Practice PAC ID
1759281165
Professional Enrollment ID
I20240717000160
Address ID
CT064512101ME435XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for JULIA LISI (CRNA)

  • 83 HORSE TAVERN RD

    TRUMBULL, CT 066111515

    Phone: (203) 610-9553

    Type: Mailing

  • 267 GRANT ST

    BRIDGEPORT, CT 066102805

    Phone: (203) 384-3671

    Type: Location

  • 99 E RIVER DRIVE

    EAST HARTFORD, CT 061087301

    Phone: (860) 282-0833

    Type: Mailing

  • 2800 MAIN ST

    BRIDGEPORT, CT 066064292

    Phone: (203) 576-6000

    Type: Location

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: 2024-07-17

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
I20240717000160ICertified 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06611)

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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: 1759281165View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YCT
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)CT
-CT
-CT
Certified Registered Nurse Anesthetist (Crna)CT
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YRI
Anesthesiology, Pain ManagementNY

Reviews

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Frequently asked questions

What is the standard ID for JULIA LISI (CRNA) in the U.S.?
In the U.S., JULIA LISI (CRNA) is identified by NPI 1760055651.
Quick check: is JULIA LISI (CRNA) active?
Public NPPES data shows JULIA LISI (CRNA) with an active NPI status right now.
How should patients interpret JULIA LISI (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for JULIA LISI (CRNA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to JULIA LISI (CRNA)?
JULIA LISI (CRNA) is associated with Trumbull, Connecticut in the same public data insurers reference.
Who maintains JULIA LISI (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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