LISA R. RYBAK CRNA
NPI 1114906955
Nurse Anesthetist, Certified Registered in Saint Louis, MO
About Lisa R. Rybak Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA R. RYBAK CRNA (NPI 1114906955) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (146767) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa R. Rybak Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Lisa Rybak reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Louis, MO 63131
- Reassigned Medicare billing, Illinois and Missouri enrollments
- 16 clinicians in this Medicare group
Hazelwood, MO 63042
- Reassigned Medicare billing, Missouri enrollment
- 26 clinicians in this Medicare group
Belleville, IL 62223
- Reassigned Medicare billing, Illinois enrollment
- 11 clinicians in this Medicare group
Fairview Heights, IL 62208
- Reassigned Medicare billing, Illinois enrollment
- 20 clinicians in this Medicare group
Addison, TX 75001
- Reassigned Medicare billing, Missouri enrollment
- 175 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63117
SAINT LOUIS, MO 63117
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Rybak's NPI number?
The NPI number for Lisa Rybak is 1114906955. It was assigned to this individual provider in the NPPES registry on January 11, 2006.
Where is Lisa Rybak located?
Lisa Rybak practices at 6420 Clayton Rd, Saint Louis, MO 63117. The listed phone number is (314) 768-8442.
What is Lisa Rybak's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lisa Rybak enrolled in Medicare?
Yes. Lisa Rybak is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lisa Rybak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Rybak reassigns Medicare benefits to 5 organizations: Eye Anesthesia LLC (Saint Louis, MO), Dreamland Uap Anesthesia, LLC (Hazelwood, MO), Anesthesia Of Southern Illinois LLC (Belleville, IL), Diversified Medical Services LLC (Fairview Heights, IL) and Orthomed Staffing LLC (Addison, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Rybak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Rybak was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa R. Rybak, CRNA · NPI 1114906955
Nurse Anesthetist, Certified Registered physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since January 11, 2006.
## Identity
- **NPI:** 1114906955 (Entity type: Individual)
- **Enumerated:** January 11, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 146767 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6420 CLAYTON RD, Saint Louis, MO 63117-1811
- **Phone:** (314) 768-8442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Eye Anesthesia LLC (NPI 1528334182, Saint Louis, MO); Dreamland Uap Anesthesia, LLC (NPI 1073919494, Hazelwood, MO); Anesthesia Of Southern Illinois LLC (NPI 1053662932, Belleville, IL); Diversified Medical Services LLC (NPI 1780962506, Fairview Heights, IL); Orthomed Staffing LLC (NPI 1225514276, Addison, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2017
- **Other identifiers:** Medicaid 918807108 (MO); Medicare PIN 020013155 (MO); Medicare PIN P00041988
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Source: [NPI Profile](https://npiprofile.com/npi/1114906955) · Data from the CMS NPPES public registry.