LISA M BAGLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386889616

LISA M BAGLEY (CRNA) is a healthcare provider. based in Waltham, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 232292 (MA). The NPI Number for LISA M BAGLEY (CRNA) is 1386889616

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LISA M BAGLEY (CRNA)
NPI
1386889616
Phone
(781) 487-2990
Address
40 2nd Ave
Enumeration Date
16 December 2008
Last Update Date
6 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173556000
Graduation Year
2008 (18 years ago)
PAC ID
1153484753
Group Practice PAC ID
0446155568
Professional Enrollment ID
I20090108000093
Address ID
MA021155724BO300XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for LISA M BAGLEY (CRNA)

  • 40 2nd Ave

    Waltham, MA 024511132

    Phone: (781) 487-2990

    Type: Location

  • 690, Canton Street, Westwood, Norfolk County, Massachusetts, 02090, United States

    SUITE 325

    WESTWOOD, MA 020902321

    Phone: (781) 407-7713

    Type: Mailing

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: 2009-01-08

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
I20090108000093ICertified Registered Nurse Anesthetist (Crna)MATBD

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 endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 02451)

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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: 0446155568View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YVA
A N E S T H E S I O L O G YMA
Anesthesiology, Pediatric MedicineMA
-MA
-MA
Anesthesiology, Pediatric Medicine, Critical Care (Intensivists)MA
Nurse PractitionerMA
-MA
A N E S T H E S I O L O G YMA
Pain Management, NeurologyMA

Reviews

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Frequently asked questions

Is LISA M BAGLEY (CRNA) listed with a National Provider Identifier?
Yes — LISA M BAGLEY (CRNA) has NPI 1386889616 on file in the registry.
Active or inactive — what applies to LISA M BAGLEY (CRNA)?
You should see LISA M BAGLEY (CRNA) as active in CMS-hosted NPPES data.
What clinical focus is listed for LISA M BAGLEY (CRNA)?
At a glance, LISA M BAGLEY (CRNA) is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with LISA M BAGLEY (CRNA)?
Directory geography for LISA M BAGLEY (CRNA) centers on Waltham, Massachusetts.
Does LISA M BAGLEY (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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