JOHN R LIZAK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1689655540

JOHN R LIZAK (CRNA) is a healthcare provider. based in Lebanon, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN349613L (PA). The NPI Number for JOHN R LIZAK (CRNA) is 1689655540

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
JOHN R LIZAK (CRNA)
NPI
1689655540
Phone
(717) 272-0007
Address
1840 QUENTIN RD
Enumeration Date
8 November 2005
Last Update Date
7 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7175604200
Graduation Year
2003 (23 years ago)
PAC ID
2264321827
Group Practice PAC ID
1557264678
Professional Enrollment ID
I20040311001315
Address ID
PA176016823LA231XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for JOHN R LIZAK (CRNA)

  • 1840, Quentin Road, North Cornwall Township, Lebanon County, Pennsylvania, 17042, United States

    LEBANON, PA 170427436

    Phone: (717) 272-0007

    Type: Location

  • PO BOX 947

    CHAMBERSBURG, PA 172010947

    Phone: (717) 263-5562

    Fax: (717) 263-1566

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $430.

Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Janssen Biotech, Inc. ($171).

Total Amount

$430

General + Research + Ownership

Payments

21

Total payment records

General Amount

$430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2004-03-11

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
I20040311001315ICertified Registered Nurse Anesthetist (Crna)PATBD

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
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand3836$0
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance1616$0
01830Anesthesia for other procedure on forearm, wrist, or hand bones1111$0
View full utilization report →

Insurance plans in this area (ZIP 17042)

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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: 1557264678View full group profile
NameSpecialtyState
Physician AssistantPA
Orthopedic SurgeryFL
Orthopedic SurgeryPA
Physician AssistantPA
Physician AssistantPA
Orthopedic SurgeryPA
Orthopedic SurgeryPA
Certified Registered Nurse Anesthetist (Crna)PA
Orthopedic SurgeryPA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

How is JOHN R LIZAK (CRNA) identified in CMS data?
CMS-hosted NPPES data lists JOHN R LIZAK (CRNA) with NPI 1689655540.
Is JOHN R LIZAK (CRNA) listed as active for patients and plans?
The listing shows JOHN R LIZAK (CRNA) as active in the NPI system.
What is JOHN R LIZAK (CRNA)'s specialty?
The listing groups JOHN R LIZAK (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does JOHN R LIZAK (CRNA) serve?
JOHN R LIZAK (CRNA)'s listing highlights Lebanon, Pennsylvania; more addresses can appear in NPPES.
Is the information about JOHN R LIZAK (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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