LISA KAITLYN AZZARA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1770107799

LISA KAITLYN AZZARA (CRNA) is a healthcare provider. based in Osprey, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 61065330 (WA). The NPI Number for LISA KAITLYN AZZARA (CRNA) is 1770107799

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
LISA KAITLYN AZZARA (CRNA)
NPI
1770107799
Phone
Not provided
Address
123 REVOLUTION WAY
Enumeration Date
5 June 2020
Last Update Date
5 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413421303
Graduation Year
2020 (6 years ago)
PAC ID
2163847971
Group Practice PAC ID
7911323720
Professional Enrollment ID
I20231205003830
Address ID
FL342335060SA5741XRDXX437
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

987 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WA

Provider Addresses for LISA KAITLYN AZZARA (CRNA)

  • 123 REVOLUTION WAY

    OSPREY, FL 342296843

    Phone:

    Type: Mailing

  • 1700 13TH ST

    EVERETT, WA 982011689

    Phone: (425) 261-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-12-05

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
I20231205003830ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 endoscope2020$0
00812Anesthesia for exam of colon using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 34229)

Loading plans...

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: 7911323720View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows LISA KAITLYN AZZARA (CRNA) across health systems?
The NPI 1770107799 uniquely identifies LISA KAITLYN AZZARA (CRNA) in U.S. healthcare data.
Is LISA KAITLYN AZZARA (CRNA)'s NPI status active today?
Active status means LISA KAITLYN AZZARA (CRNA)'s NPI record is not deactivated in the public file.
How should patients interpret LISA KAITLYN AZZARA (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for LISA KAITLYN AZZARA (CRNA). Clinical services aligned with this taxonomy classification.
What city is tied to LISA KAITLYN AZZARA (CRNA)?
The directory associates LISA KAITLYN AZZARA (CRNA) with Osprey, Florida. Check all listed addresses for suites or satellite offices.
Can I export LISA KAITLYN AZZARA (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

MRS. KIM C MILLER (CRNA)

Certified Registered Nurse Anesthetist
628, Oak Bay Drive, Osprey, Sarasota County, Florida, 34229, United States
NPI: 1619954047

MR. VANCE EDWARD WILSON (C.R.N.A.)

Certified Registered Nurse Anesthetist
920 PARLIAMENT RD
NPI: 1639144629

DIANA CAROL HYDEN (CRNA)

Certified Registered Nurse Anesthetist
1352, New Forest Lane, Osprey, Sarasota County, Florida, 34229, United States
NPI: 1093813529