LISA FAULHABER
NPI 1316740699
Nurse Anesthetist, Certified Registered in Minneapolis, MN

Active since March 31, 2025
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 813-6000 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lisa Faulhaber NPPES

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

LISA FAULHABER (NPI 1316740699) is an individual nurse anesthetist, certified registered in Minneapolis, Minnesota, licensed in Minnesota (3131) and active in the NPI registry since March 2025. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1316740699
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLISA FAULHABER
Location Address2525 CHICAGO AVEMinneapolis, MN 55404-4518
Mailing Address2525 Chicago AveMinneapolis, MN 55404-4518 · (612) 813-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
NPI 1316740699 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 MN · 3131
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.

2525 CHICAGO AVE, Minneapolis, MN 55404

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lisa Faulhaber is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052839818
PECOS Enrollment IDI20250515001006

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.

Pediatrics
2525 CHICAGO AVE, CHILDRENS PRIMARY CLINIC MPLS
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE, CHILDRENS PRIMARY CLINIC MPLS
MINNEAPOLIS, MN 55404
Pathology (Pediatric Pathology)
2525 CHICAGO AVE, CHILDRENS HOSPITALS AND CLINICS-PATHOLOGY-MPLS
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Psychologist (Clinical Child & Adolescent)
2525 CHICAGO AVE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES MPLS
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE, CHILDRENS SPECIALITY CLINIC-INTEGRATIVE MEDICINE
MINNEAPOLIS, MN 55404
Clinical Neuropsychologist
2525 CHICAGO AVE, CHILDRENS SPECIALTY CLINIC PSYCHOLOGICAL SERVICES MPLS
MINNEAPOLIS, MN 55404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316740699, enumerated as an "individual" on March 31, 2025.

The provider is located at 2525 CHICAGO AVE MINNEAPOLIS, MN 55404 and the phone number is (612) 813-6000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.