LYZA J ANDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1861613119

LYZA J ANDERSON (CRNA) is a healthcare provider. based in Lake oswego, Oregon. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN144880 (GA). The NPI Number for LYZA J ANDERSON (CRNA) is 1861613119

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
LYZA J ANDERSON (CRNA)
NPI
1861613119
Phone
(404) 918-9019
Address
1100 TROON RD
Enumeration Date
2 May 2007
Last Update Date
20 May 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
5032978081
Graduation Year
2003 (23 years ago)
PAC ID
0042205320
Group Practice PAC ID
2860662996
Professional Enrollment ID
I20160812000237
Address ID
OR972256689PO9701XRDXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,128 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NC

Provider Addresses for LYZA J ANDERSON (CRNA)

  • 1100 TROON RD

    LAKE OSWEGO, OR 970342836

    Phone: (404) 918-9019

    Type: Mailing

  • 242 9TH AVENUE DR NE

    HICKORY, NC 286013828

    Phone: (828) 322-7305

    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: 2016-08-12

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
I20160812000237ICertified Registered Nurse Anesthetist (Crna)ORTBD

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 endoscope7676$0
00142Anesthesia for lens surgery5959$0
00103Anesthesia for procedure on eyelid4343$0
00812Anesthesia for exam of colon using an endoscope3131$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2323$0
View full utilization report →

Insurance plans in this area (ZIP 97034)

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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: 2860662996View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)WA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)CO

Reviews

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Frequently asked questions

Is there an official ID for LYZA J ANDERSON (CRNA) in U.S. healthcare records?
The official identifier for LYZA J ANDERSON (CRNA) is NPI 1861613119.
Is LYZA J ANDERSON (CRNA) still an active registrant?
LYZA J ANDERSON (CRNA) carries an active NPI according to the public dataset.
What area of care is associated with LYZA J ANDERSON (CRNA)?
LYZA J ANDERSON (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Oregon is LYZA J ANDERSON (CRNA) registered?
Use Lake Oswego, Oregon as the headline location for LYZA J ANDERSON (CRNA) here.
Can I trust this NPI listing for LYZA J ANDERSON (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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