LISA M BENNETT CRNA
NPI 1740218791
Nurse Anesthetist, Certified Registered in Tulsa, OK

Q: What is Lisa Bennett's NPI number?

The NPI number for Lisa Bennett is 1740218791. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Lisa M Riedel.

Q: What is Lisa Bennett'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 Lisa Bennett was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 29, 2006Accepts Medicare Assignment

4200 E SKELLY DR STE 100, TULSA, OK 74135(422) 191-8528 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa M Bennett Crna NPPES

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

LISA M BENNETT CRNA (NPI 1740218791) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (R0134240) and active in the NPI registry since June 2006. She is affiliated with Southeast Michigan Surgical Hospital Llc, maintains a secondary practice location in Cincinnati, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1740218791

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLISA M BENNETTCredential: CRNA

Location Address4200 E SKELLY DR STE 100Tulsa, OK 74135-3235

Mailing Address1578 E 59th StTulsa, OK 74105-8006 · (248) 505-2707

Phone(422) 191-8528

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 29, 2006

Last NPPES UpdateOctober 13, 2022

NPPES CertifiedOctober 13, 2022

✔ NPI 1740218791 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 OK · R0134240✔ Licensed in MI · 4704205789✔ Licensed in OH · RN-324508

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.

4200 E SKELLY DR STE 100, Tulsa, OK 74135

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Other Names 1

Former Name (1)Lisa M Riedel

Secondary Practice Location 1

Location 1234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 872-7388 · Fax (513) 872-7385

Other Identifiers 3

OtherR0134240OK · Oklahoma Board Of Nursing

Other4704205789MI · Michigan Board Of Nursing

Medicaid200879670AOK

Accepted Insurance

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

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

Lisa M Bennett 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 ID8628023876

PECOS Enrollment IDI20050321000635

Hospital Affiliations CMS Care Compare

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

Southeast Michigan Surgical Hospital LLC

Acute Care Hospitals · Warren, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230264

Location21230 Dequindre RoadWarren, MI 48091 · Macomb County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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 Bennett's NPI number?

The NPI number for Lisa Bennett is 1740218791. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Lisa M Riedel.

Where is Lisa Bennett located?

Lisa Bennett practices at 4200 E Skelly Dr Ste 100, Tulsa, OK 74135. The listed phone number is (422) 191-8528.

What is Lisa Bennett's specialty?

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

Is Lisa Bennett enrolled in Medicare?

Yes. Lisa Bennett 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.

What insurance does Lisa Bennett accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Oklahoma, HMO Louisiana and Medica list Lisa Bennett 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 Lisa Bennett affiliated with any hospitals?

According to CMS data, Lisa Bennett is affiliated with Southeast Michigan Surgical Hospital LLC.

When was this NPI record last updated?

The NPPES record for Lisa Bennett was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.