SUSAN LYDEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1902963911

SUSAN LYDEN (CRNA) is a healthcare provider. based in Ravenna, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN193077 (OH). The NPI Number for SUSAN LYDEN (CRNA) is 1902963911

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN LYDEN (CRNA)
NPI
1902963911
Phone
(330) 296-4816
Address
771 N FREEDOM ST
Enumeration Date
2 January 2007
Last Update Date
29 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302970811
Graduation Year
1996 (30 years ago)
PAC ID
8527047703
Group Practice PAC ID
4385771997
Professional Enrollment ID
I20040720000770
Address ID
OH442663929RA6847XSTXX400
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

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

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Provider Addresses for SUSAN LYDEN (CRNA)

  • 771, North Freedom Street, Ravenna, Portage County, Ohio, 44266, United States

    RAVENNA, OH 442662470

    Phone: (330) 296-4816

    Type: Mailing

  • Portage Medical Center, 6847, North Chestnut Street, Ravenna, Portage County, Ohio, 44266, United States

    RAVENNA, OH 442663929

    Phone: (330) 297-0811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Silk Road Medical, Inc. ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Silk Road Medical, Inc.$26
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: 2004-07-20

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
I20040720000770ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00910Anesthesia for other procedure on urinary system through urethra1313$0
View full utilization report →

Insurance plans in this area (ZIP 44266)

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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: 4385771997View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What unique ID ties claims to SUSAN LYDEN (CRNA)?
NPI 1902963911 is assigned to SUSAN LYDEN (CRNA) under the national enumeration system.
Is SUSAN LYDEN (CRNA) active in the national directory?
SUSAN LYDEN (CRNA)'s public NPI profile is in an active state.
Can you summarize SUSAN LYDEN (CRNA)'s specialty in plain language?
Clinically, the directory lists SUSAN LYDEN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place SUSAN LYDEN (CRNA)?
The snapshot lists Ravenna, Ohio for SUSAN LYDEN (CRNA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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