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WAYNE LISAK II CRNA
NPI 1336561356
Nurse Anesthetist, Certified Registered in Royal Oak, MI

Active since January 10, 2014
86.01/100
CMS Quality Rating
3601 W 13 MILE RD, ANESTHESIA, ROYAL OAK, MI 48073(248) 898-5000 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wayne Lisak Ii Crna NPPES

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

WAYNE LISAK II CRNA (NPI 1336561356) is an individual nurse anesthetist, certified registered in Royal Oak, Michigan, licensed in Michigan (4704272201) and active in the NPI registry since January 2014. He is affiliated with Beaumont Hospital Royal Oak, maintains a secondary practice location in Clarkston, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1336561356
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWAYNE LISAK IICredential: CRNA
Location Address3601 W 13 MILE RD, ANESTHESIARoyal Oak, MI 48073-6712
Mailing Address750 Stephenson Hwy, Beaumont Payor Contract ServicesTroy, MI 48083-1103 · (248) 577-3511 · Fax (248) 577-3526
Phone(248) 898-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 10, 2014
Last NPPES UpdateJuly 9, 2025
NPPES CertifiedJuly 9, 2025
✔ NPI 1336561356 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 MI · 4704272201
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.
3601 W 13 MILE RD, Royal Oak, MI 48073
Open in Google Maps ↗

Secondary Practice Location 1

Location 16886 Sashabaw RdClarkston, MI 48348-4732 · Phone (248) 707-3112

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Lisak Ii Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800026113
PECOS Enrollment IDI20140306002095

Medicare Billing Reassignments

5

Medicare enrollment records show Wayne Lisak reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

William Beaumont Hospital
Same address
Hospitalist
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 278 clinicians in this Medicare group
NPI 1811044878 (248) 585-8271
Anesthesia Associates Of Ann Arbor, PLLC
17 mi
Anesthesiology
33545 CHERRY HILL RD FL 2
Westland, MI 48186
  • Reassigned Medicare billing, Michigan enrollment
  • 273 clinicians in this Medicare group
NPI 1669581997 (313) 293-7777
Ambulatory Anesthesia Associates, PC
42 mi
Anesthesiology
718 N MACOMB ST
Monroe, MI 48162
  • Reassigned Medicare billing, Michigan enrollment
  • 109 clinicians in this Medicare group
NPI 1952350555 (734) 240-8400
Sleepsmith Staffing LLC
43 mi
Nurse Anesthetist, Certified Registered
1914 MILLER RD
Flint, MI 48503
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
NPI 1114463379 (248) 894-8467
Northstar Anesthesia Of Michigan III PLLC
1,003 mi
Pain Medicine
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 905 clinicians in this Medicare group
NPI 1972126209 (214) 687-0001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

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.

86.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Improvement Activities40

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.

AMIT BAHL MD, MPH
Emergency Medicine
3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073
Oakland County (248) 898-0575
CATHERINE LEE PA
Physician Assistant
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 423-2481
DR. APARNA HARIHARAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-9060
TERRENCE METZ
Radiology (Diagnostic Radiology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000
NICOLE MARIJANOVICH MD
Internal Medicine
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-7999
VINAYATA MANUBALLA KARETI D.O.
Internal Medicine (Gastroenterology)
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (661) 948-0803
WESLEY RICHARD BARNES M.D.
Surgery
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-2800
MELISSA JOY DREWRY M.D.
Pediatrics
3601 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 898-5000

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 Wayne Lisak's NPI number?

The NPI number for Wayne Lisak is 1336561356. It was assigned to this individual provider in the NPPES registry on January 10, 2014.

Where is Wayne Lisak located?

Wayne Lisak practices at 3601 W 13 Mile Rd Anesthesia, Royal Oak, MI 48073. The listed phone number is (248) 898-5000.

What is Wayne Lisak's specialty?

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

Is Wayne Lisak enrolled in Medicare?

Yes. Wayne Lisak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wayne Lisak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Lisak reassigns Medicare benefits to 5 organizations: William Beaumont Hospital (Royal Oak, MI), Anesthesia Associates Of Ann Arbor, PLLC (Westland, MI), Ambulatory Anesthesia Associates, PC (Monroe, MI), Sleepsmith Staffing LLC (Flint, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, 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 Wayne Lisak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wayne Lisak accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Wayne Lisak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Wayne Lisak affiliated with any hospitals?

According to CMS data, Wayne Lisak is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Wayne Lisak was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.