MRS. LISA G HALE CRNA
NPI 1174506216
Nurse Anesthetist, Certified Registered in Winston Salem, NC

Q: What is Lisa Hale's NPI number?

The NPI number for Lisa Hale is 1174506216. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Q: What is Lisa Hale's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Hale was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 22, 2005Accepts Medicare Assignment

145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103(336) 768-3212(336) 768-9019 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, Mar 18, 2019 (2 updates tracked since 2019).

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About Mrs. Lisa G Hale Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA G HALE CRNA (NPI 1174506216) is an individual nurse anesthetist, certified registered in Winston Salem, North Carolina, licensed in North Carolina (090120) and active in the NPI registry since November 2005. She is affiliated with Novant Health Medical Park Hospital, maintains a secondary practice location in Winston Salem, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1174506216

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMRS. LISA G HALECredential: CRNA

Location Address145 KIMEL PARK DR STE 120Winston Salem, NC 27103-6983

Mailing Address145 Kimel Park Dr Ste 120Winston Salem, NC 27103-6983 · (336) 768-3212 · Fax (336) 768-9019

Phone(336) 768-3212

Fax(336) 768-9019

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateNovember 22, 2005

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1174506216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NC · 090120

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

145 KIMEL PARK DR STE 120, Winston Salem, NC 27103

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Secondary Practice Location 1

Location 1Wake Forest University Baptist Medical Center, Dept. of Anesthesia Medical Center BoulevardWinston Salem, NC 27157-0001 · Phone (336) 713-2555

Other Identifiers 1

Medicaid8049972NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lisa G Hale Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305815721

PECOS Enrollment IDI20041001000045

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Medical Park Hospital

Acute Care Hospitals · Winston-Salem, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340148

Location1950 S Hawthorne RdWinston-Salem, NC 27103 · Forsyth County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ADAIR QUATTLEBAUM LOCKE MD

Anesthesiology