LISA A SULLIVAN (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1992783328
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
471 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NH
Provider Addresses for LISA A SULLIVAN (C.R.N.A.)
Lewiston Post Office, 49, Ash Street, Lewiston, Androscoggin County, Maine, 04240, United States
LEWISTON, ME 042411849
Phone: (207) 784-2554
Fax: (207) 777-5363
Type: Mailing
100 McGregor St
Manchester, NH 031023730
Phone: (603) 668-3545
Type: Location
21298 Olean Blvd
Port Charlotte, FL 339526705
Phone: (941) 629-1181
Type: Location
13681 Doctors Way
Fort Myers, FL 339124300
Phone: (239) 343-1000
Type: Location
Parkland Medical Center, 1, Parkland Drive, Derry, Rockingham County, New Hampshire, 03038, United States
DERRY, NH 030382746
Phone: (603) 421-2163
Type: Location
21298 OLEAN BLVD
PORT CHARLOTTE, FL 339526705
Phone: (941) 629-1181
Type: Location
4261 TREE TOPS DR
PORT CHARLOTTE, FL 339535919
Phone: (603) 591-5739
Type: Mailing
8380 RIVERWALK PARK BLVD STE 220
FORT MYERS, FL 339198758
Phone: (239) 215-4104
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Shockwave Medical, Inc ($46).
Total Amount
$101
General + Research + Ownership
Payments
8
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Shockwave Medical, Inc | $46 |
| Boston Scientific Corporation | $34 |
| ShockWave Medical, Inc | $21 |
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: 2023-04-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050406000399 | I | Certified Registered Nurse Anesthetist (Crna) | NH | TBD |
| I20181101003099 | I | Certified Registered Nurse Anesthetist (Crna) | FL | TBD |
| I20230427001233 | I | Certified Registered Nurse Anesthetist (Crna) | SC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 32 | 32 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 18 | 18 | $0 |
| 01922 | Anesthesia for x-ray or radiation therapy | 14 | 14 | $0 |
Insurance plans in this area (ZIP 04241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | NY | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | FL | |
| 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 |
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