LILIA CAAMANO MENDOZA (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033890439

LILIA CAAMANO MENDOZA (CRNA) is a healthcare provider. based in Madison, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 16039 (WI). The NPI Number for LILIA CAAMANO MENDOZA (CRNA) is 1033890439

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
LILIA CAAMANO MENDOZA (CRNA)
NPI
1033890439
Phone
(608) 438-4624
Address
219 N MIDVALE BLVD APT A
Enumeration Date
27 July 2023
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082602900
Graduation Year
2024 (2 years ago)
PAC ID
6608306428
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20250210001628
Address ID
WI537151830MA700XXSTXX409

Contacts

FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Secure Messaging
lcaamanomendoza271456@direct-ehr-ssmhc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness95
Years active:2State licenses:1Other names

1,148 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for LILIA CAAMANO MENDOZA (CRNA)

  • 219 N MIDVALE BLVD APT A

    MADISON, WI 537055049

    Phone: (608) 438-4624

    Type: Mailing

  • 265 GRIFFIN ST E

    AMERY, WI 540011439

    Phone: (715) 268-8000

    Type: Location

  • 405 Stageline Rd

    Hudson, WI 540167848

    Phone: (715) 531-6000

    Type: Location

  • 700 S Park St

    Madison, WI 537151830

    Phone: (608) 251-6100

    Fax: (608) 258-5222

    Type: Location

  • 1100 Bergslien St

    Baldwin, WI 54002

    Phone: (715) 246-3018

    Type: Location

  • 535 Hospital Rd

    New Richmond, WI 540171449

    Phone: (715) 243-2600

    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: 2025-02-10

PECOS data refreshed: 2026-06-15

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
I20250210001628ICertified Registered Nurse Anesthetist (Crna)WITBD

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 53705)

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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: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
N E U R O L O G YWI
Family PracticeWI

Reviews

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Frequently asked questions

What is the registry number for LILIA CAAMANO MENDOZA (CRNA)?
The registry entry for LILIA CAAMANO MENDOZA (CRNA) shows NPI 1033890439.
Is LILIA CAAMANO MENDOZA (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists LILIA CAAMANO MENDOZA (CRNA) as active.
What type of care does LILIA CAAMANO MENDOZA (CRNA) provide?
LILIA CAAMANO MENDOZA (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to LILIA CAAMANO MENDOZA (CRNA)?
LILIA CAAMANO MENDOZA (CRNA) is associated with Madison, Wisconsin in the same public data insurers reference.
Who maintains LILIA CAAMANO MENDOZA (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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