WAYNE II LISAK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336561356

Certified Registered Nurse Anesthetist

WAYNE II LISAK (CRNA) is a healthcare provider. based in Troy, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704272201 (MI). The NPI Number for WAYNE II LISAK (CRNA) is 1336561356

Main info

Male

13 Years Of Experience

Name

WAYNE II LISAK (CRNA)

NPI

1336561356

Phone

(248) 577-3511

Address

750 STEPHENSON HWY

Enumeration Date

10 January 2014

Last Update Date

9 July 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2146870001

Graduation Year

2013 (13 years ago)

PAC ID

6800026113

Group Practice PAC ID

7911325469

Professional Enrollment ID

I20140306002095

Address ID

MI482301507GR468XXRDXX300

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness85

Years active:12State licenses:1Digital endpointsOther names

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

Provider Addresses for WAYNE II LISAK (CRNA)

750 STEPHENSON HWY
BEAUMONT PAYOR CONTRACT SERVICES
TROY, MI 480831103
Phone: (248) 577-3511
Fax: (248) 577-3526
Type: Mailing
6886 Sashabaw Rd
Clarkston, MI 483484732
Phone: (248) 707-3112
Type: Location
3601 W 13 MILE RD
ANESTHESIA
ROYAL OAK, MI 480736712
Phone: (248) 898-5000
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: 2014-03-06

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

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
I20140306002095	I	Certified Registered Nurse Anesthetist (Crna)	MI	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.

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 48083)

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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: 7911325469View full group profile

Name	Specialty	State
PAUL RICHARD III EMMONS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KY
MS. RACHELLE M FRANCIS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
JORDAN ALEXANDRIA JUDGE	Certified Registered Nurse Anesthetist (Crna)	MI
KURT M SCHUON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
THOMAS LUNDBLAD (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
DR. DANIEL SAPEIKA (M.D.)	Anesthesiology, Interventional Pain Management	MI
CARMEN G KISLOV (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
DR. MARK B YESTREPSKY (MD)	A N E S T H E S I O L O G Y	MI
SARA M BAUMAN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MI
RICARDO BENJAMIN SERRANO (M.D.)	A N E S T H E S I O L O G Y	MI

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Frequently asked questions

Where can patients find WAYNE II LISAK (CRNA)'s NPI?

You can confirm WAYNE II LISAK (CRNA) with NPI 1336561356; it appears in the national provider directory.

Does this profile mean WAYNE II LISAK (CRNA) is currently active?

Yes — WAYNE II LISAK (CRNA) appears active in the national provider directory.

Can you summarize WAYNE II LISAK (CRNA)'s specialty in plain language?

Clinically, the directory lists WAYNE II LISAK (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What location shows for WAYNE II LISAK (CRNA)?

We surface Troy, Michigan for WAYNE II LISAK (CRNA) based on available NPPES addresses.

How can I contact WAYNE II LISAK (CRNA)?

Phone or fax may appear on the official NPI record when supplied — verify before relying on them.