LISA R. RYBAK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114906955

LISA R. RYBAK (CRNA) is a healthcare provider. based in Saint louis, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 146767 (MO). The NPI Number for LISA R. RYBAK (CRNA) is 1114906955

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
LISA R. RYBAK (CRNA)
NPI
1114906955
Phone
(314) 768-8442
Address
6420 CLAYTON RD
Enumeration Date
11 January 2006
Last Update Date
11 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143738931
Graduation Year
2002 (24 years ago)
PAC ID
6002704889
Group Practice PAC ID
9133442825
Professional Enrollment ID
I20040304001304
Address ID
MO630421820HA100XXSQXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for LISA R. RYBAK (CRNA)

  • SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    SAINT LOUIS, MO 631171811

    Phone: (314) 768-8442

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($54).

Total Amount

$211

General + Research + Ownership

Payments

12

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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: 2017-01-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040304001304ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20170130002842ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00142Anesthesia for lens surgery323271$0
00103Anesthesia for procedure on eyelid1818$0
View full utilization report →

Insurance plans in this area (ZIP 63117)

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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: 9133442825View full group profile
NameSpecialtyState
-MO
-MO
Certified Registered Nurse Anesthetist (Crna)MO

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Frequently asked questions

How is LISA R. RYBAK (CRNA) identified in CMS data?
CMS-hosted NPPES data lists LISA R. RYBAK (CRNA) with NPI 1114906955.
Does CMS list LISA R. RYBAK (CRNA) as active?
Yes — LISA R. RYBAK (CRNA) is active in the NPI listing used on this page.
What is LISA R. RYBAK (CRNA)'s specialty?
The listing groups LISA R. RYBAK (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is LISA R. RYBAK (CRNA) based?
LISA R. RYBAK (CRNA) is tied to Saint Louis, Missouri 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.