LISA ANN NYDAM CRNA
NPI 1316096985
Nurse Anesthetist, Certified Registered in Littleton, CO

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
38.96/100
CMS Quality Rating
1001 SOUTHPARK DR, LITTLETON, CO 80120(303) 722-8789(303) 722-2935 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lisa Ann Nydam Crna NPPES

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

LISA ANN NYDAM CRNA (NPI 1316096985) is an individual nurse anesthetist, certified registered in Littleton, Colorado, licensed in California (3217) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316096985
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLISA ANN NYDAMCredential: CRNA
Location Address1001 SOUTHPARK DRLittleton, CO 80120-5641
Mailing Address7305 S Platte River PkwyLittleton, CO 80120-2911 · (925) 830-8485
Fax(303) 722-2935
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 10, 2007
Last NPPES UpdateMay 8, 2015
✔ NPI 1316096985 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
Licenses✔ Licensed in CA · 3217✔ Licensed in CO · APN.0991047-CRNA
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.
1001 SOUTHPARK DR, Littleton, CO 80120

Other Identifiers 2

Medicare UPINQ40124CA
Medicare PIN337112YPYWCO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Ann Nydam 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 ID7618914797
PECOS Enrollment IDI20140327000732
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Lisa Nydam reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
1001 SOUTHPARK DR
Littleton, CO 80120
  • Reassigned Medicare billing, Colorado enrollment
  • 84 clinicians in this Medicare group
Anesthesiology
3000 S JAMAICA CT STE 140
Aurora, CO 80014
  • Reassigned Medicare billing, Colorado enrollment
  • 99 clinicians in this Medicare group
Gastroenterology
2920 N CASCADE AVE STE 301
Colorado Springs, CO 80907
  • Reassigned Medicare billing, Colorado enrollment
  • 93 clinicians in this Medicare group
Gastroenterology
3702 S TIMBERLINE RD
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 67 clinicians in this Medicare group
Anesthesiology
350 E INTERSTATE 20 STE 200
Arlington, TX 76018
  • Reassigned Medicare billing, Colorado enrollment
  • 46 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Colorado enrollment
  • 87 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 5

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
67 services67 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
54 services54 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
27 services27 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
21 services21 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80120 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

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.

38.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability100
Improvement Activities0
Cost46.55

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1001 SOUTHPARK DR
LITTLETON, CO 80120
Nurse Practitioner (Family)
1001 SOUTHPARK DR
LITTLETON, CO 80120
Internal Medicine (Gastroenterology)
1001 SOUTHPARK DR
LITTLETON, CO 80120
Nurse Practitioner (Acute Care)
1001 SOUTHPARK DR
LITTLETON, CO 80120
Internal Medicine (Gastroenterology)
1001 SOUTHPARK DR
LITTLETON, CO 80120
Internal Medicine (Gastroenterology)
1001 SOUTHPARK DR
LITTLETON, CO 80120
Internal Medicine (Gastroenterology)
1001 SOUTHPARK DR
LITTLETON, CO 80120
Anesthesiology
1001 SOUTHPARK DR
LITTLETON, CO 80120

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 Nydam's NPI number?

The NPI number for Lisa Nydam is 1316096985. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Lisa Nydam located?

Lisa Nydam practices at 1001 Southpark Dr, Littleton, CO 80120. The listed phone number is (303) 722-8789.

What is Lisa Nydam's specialty?

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

Is Lisa Nydam enrolled in Medicare?

Yes. Lisa Nydam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lisa Nydam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Nydam reassigns Medicare benefits to 6 organizations: Arapahoe Gastroenterology Anesthesia Associates LLC (Littleton, CO), Cpr Anesthesia, Inc (Aurora, CO), Peak Gastroenterology Associates (Colorado Springs, CO), Centers For Gastroenterology (Fort Collins, CO), Arlington Anesthesia Group, PLLC (Arlington, TX) and 1 more organization, listed in the Medicare section above. 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 Nydam'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 Nydam was last updated on May 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.