LISA MONICA CABALLA – Certified Registered Nurse Anesthetist, NPI 1174550743

LISA MONICA CABALLA is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704211996 (MI). The NPI Number for LISA MONICA CABALLA is 1174550743

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LISA MONICA CABALLA
NPI
1174550743
Phone
(517) 787-6440
Address
255 W MICHIGAN AVE
Enumeration Date
27 June 2006
Last Update Date
23 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485853023
Graduation Year
2004 (22 years ago)
PAC ID
2062467202
Group Practice PAC ID
1355317223
Professional Enrollment ID
I20050321000556
Address ID
MI483415023PO44405AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for LISA MONICA CABALLA

  • 255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492012218

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • Saint Joseph Mercy Oakland, 44405, Woodward Avenue, Pontiac, Oakland County, Michigan, 48341, United States

    PONTIAC, MI 483415023

    Phone: (248) 858-6593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($57).

Total Amount

$80

General + Research + Ownership

Payments

4

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-21

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
I20050321000556ICertified Registered Nurse Anesthetist (Crna)MITBD

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 endoscope3434$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2221$0
00813Anesthesia for procedure on small and large bowel using an endoscope1818$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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Provider's Procedures

LISA MONICA CABALLA performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMI00142Anesthesia for lens surgery1717

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: 1355317223View full group profile
NameSpecialtyState
Critical Care (Intensivists), AnesthesiologyMI
A N E S T H E S I O L O G YMI
A N E S T H E S I O L O G YOH
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
-MI
Anesthesiology, Pain ManagementMI
Certified Registered Nurse Anesthetist (Crna)MI
Anesthesiology, Pain ManagementMI

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Frequently asked questions

How is LISA MONICA CABALLA identified in CMS data?
CMS-hosted NPPES data lists LISA MONICA CABALLA with NPI 1174550743.
Does CMS list LISA MONICA CABALLA as active?
Yes — LISA MONICA CABALLA is active in the NPI listing used on this page.
What taxonomy line describes LISA MONICA CABALLA?
For research purposes, treat LISA MONICA CABALLA as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is LISA MONICA CABALLA based?
LISA MONICA CABALLA is tied to Jackson, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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