MR. DEREK C LISH CRNA
NPI 1699914044
Nurse Anesthetist, Certified Registered in Brigham City, UT
About Mr. Derek C Lish Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DEREK C LISH CRNA (NPI 1699914044) is an individual nurse anesthetist, certified registered in Brigham City, Utah, licensed in Idaho (TEMP RNA 19861) and active in the NPI registry since February 2009. He is affiliated with Ogden Regional Medical Center, maintains a secondary practice location in Ogden, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mr. Derek C Lish 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.
Medicare Billing Reassignments
2Medicare enrollment records show Derek Lish reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brigham City, UT 84302
- Reassigned Medicare billing, Utah enrollment
- 23 clinicians in this Medicare group
Ogden, UT 84405
- Reassigned Medicare billing, Utah enrollment
- 164 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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ogden Regional Medical Center
Acute Care Hospitals · Ogden, UTBrigham City Community Hospital
Acute Care Hospitals · Brigham City, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRIGHAM CITY, UT 84302
BRIGHAM CITY, UT 84302
BRIGHAM CITY, UT 84302
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 Derek Lish's NPI number?
The NPI number for Derek Lish is 1699914044. It was assigned to this individual provider in the NPPES registry on February 9, 2009.
Where is Derek Lish located?
Derek Lish practices at 950 Medical Dr, Brigham City, UT 84302. The listed phone number is (435) 734-9471.
What is Derek Lish's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Derek Lish enrolled in Medicare?
Yes. Derek Lish 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 Derek Lish's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Lish reassigns Medicare benefits to 2 organizations: Brigham Anesthesia, LLC (Brigham City, UT) and Nph Anesthesia Of Utah, LLC (Ogden, UT). 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 Derek Lish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Derek Lish affiliated with any hospitals?
According to CMS data, Derek Lish is affiliated with Ogden Regional Medical Center and Brigham City Community Hospital.
When was this NPI record last updated?
The NPPES record for Derek Lish was last updated on October 26, 2021. 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.
# Mr. Derek C Lish, CRNA · NPI 1699914044
Nurse Anesthetist, Certified Registered physician in Brigham City, Utah. Individual provider, active in the CMS NPPES registry since February 9, 2009.
## Identity
- **NPI:** 1699914044 (Entity type: Individual)
- **Enumerated:** February 9, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** TEMP RNA 19861 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 950 MEDICAL DR, Brigham City, UT 84302-4724
- **Phone:** (435) 734-9471
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Brigham Anesthesia, LLC (NPI 1710904800, Brigham City, UT); Nph Anesthesia Of Utah, LLC (NPI 1366077273, Ogden, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1699914044) · Data from the CMS NPPES public registry.