MR. DEREK C LISH CRNA
NPI 1699914044
Nurse Anesthetist, Certified Registered in Brigham City, UT

Q: 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.

Q: What is Derek Lish'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 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 4 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 February 09, 2009Accepts Medicare Assignment

950 MEDICAL DR, BRIGHAM CITY, UT 84302(435) 734-9471 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

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

NPI1699914044

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. DEREK C LISHCredential: CRNA

Location Address950 MEDICAL DRBrigham City, UT 84302-4724

Mailing AddressPo Box 4268Portland, OR 97208-4268 · (503) 372-2740 · Fax (503) 373-2754

Phone(435) 734-9471

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateFebruary 9, 2009

Last NPPES UpdateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1699914044 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 ID · TEMP RNA 19861

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.

950 MEDICAL DR, Brigham City, UT 84302

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Secondary Practice Location 1

Location 15475 S 500 EOgden, UT 84405-6905 · Phone (801) 479-2111

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

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.

PECOS PAC ID2365599578

PECOS Enrollment IDI20120703000725

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.

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.

30 services28 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

14 services13 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.

11 services11 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

11 services11 patients

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, UT

3/5 CMS rating

OwnershipProprietary

CMS Certification Number460005

Location5475 South 500 EastOgden, UT 84405 · Weber County

Emergency services

Brigham City Community Hospital

Acute Care Hospitals · Brigham City, UT

OwnershipProprietary

CMS Certification Number460017

Location950 South Medical DriveBrigham City, UT 84302 · Box Elder County

Emergency services Birthing friendly

Physician 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.

New Patient

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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 9

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

TAYLOR JOHN HEPWORTH

Speech-Language Pathologist

950 MEDICAL DR
BRIGHAM CITY, UT 84302

Box Elder County (435) 740-0657

ASHDOWN SURGICAL PC

Surgery

950 MEDICAL DR, SUITE 104
BRIGHAM CITY, UT 84302

Box Elder County (435) 723-1114

DR. JONATHAN CHARLES ROCK M.D.

Radiology (Diagnostic Radiology)

950 MEDICAL DR
BRIGHAM CITY, UT 84302

Box Elder County (435) 734-9471

BRIGHAM CITY COMMUNITY HOSPITAL, INC.

General Acute Care Hospital

950 MEDICAL DR
BRIGHAM CITY, UT 84302

Box Elder County (435) 734-4203

PENNY J OGDEN CRNA

Nurse Anesthetist, Certified Registered

950 MEDICAL DR
BRIGHAM CITY, UT 84302

Box Elder County (800) 594-6399

SEAN STANLEY M.D.

Emergency Medicine

950 MEDICAL DR
BRIGHAM CITY, UT 84302

Box Elder County (435) 734-9471

BRIGHAM CITY ORTHOPEDIC CLINIC PC

Orthopaedic Surgery

950 MEDICAL DR, SUITE 106
BRIGHAM CITY, UT 84302

Box Elder County (435) 723-1747

SARAH MARIE FLINT FNP

Hospitalist

950 MEDICAL DR
BRIGHAM CITY, UT 84302

Box Elder County (435) 734-9471

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.

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 4 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.