MRS. LISA GOLDBOSS-SULLIVAN CRNA
NPI 1851431639
Nurse Anesthetist, Certified Registered in Saginaw, MI

Active since February 08, 2007Accepts Medicare Assignment
1447 N HARRISON ST, SAGINAW, MI 48602(989) 583-6237 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Lisa Goldboss-sullivan Crna NPPES

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

MRS. LISA GOLDBOSS-SULLIVAN CRNA (NPI 1851431639) is an individual nurse anesthetist, certified registered in Saginaw, Michigan, licensed in Michigan (4704223989) and active in the NPI registry since February 2007. She is affiliated with Covenant Medical Center and is a graduate of Other (1996).

NPPES Registry Identity

NPI1851431639
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. LISA GOLDBOSS-SULLIVANCredential: CRNA
Location Address1447 N HARRISON STSaginaw, MI 48602-4727
Mailing Address3690 White Trillium Dr ESaginaw, MI 48603-1939
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateFebruary 8, 2007
Last NPPES UpdateApril 22, 2014
✔ NPI 1851431639 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 · 4704223989
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.
1447 N HARRISON ST, Saginaw, MI 48602

Other Names 1

Former Name (1)Lisa Goldboss Crna

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

Mrs. Lisa Goldboss-sullivan 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 ID143364703
PECOS Enrollment IDI20100219000488

Medicare Billing Reassignment

Medicare enrollment records show Lisa Goldboss-sullivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Anesthetist, Certified Registered
1447 N HARRISON ST
Saginaw, MI 48602
  • Reassigned Medicare billing, Michigan enrollment
  • 126 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.

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

Occupational Therapist
1447 N HARRISON ST
SAGINAW, MI 48602
Behavior Technician
1447 N HARRISON ST
SAGINAW, MI 48602
Nurse Anesthetist, Certified Registered
1447 N HARRISON ST
SAGINAW, MI 48602
Physical Therapist
1447 N HARRISON ST
SAGINAW, MI 48602
Family Medicine
1447 N HARRISON ST
SAGINAW, MI 48602
Anesthesiology
1447 N HARRISON ST
SAGINAW, MI 48602
Registered Nurse (Critical Care Medicine)
1447 N HARRISON ST
SAGINAW, MI 48602
Student in an Organized Health Care Education/Training Program
1447 N HARRISON ST
SAGINAW, MI 48602

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 Goldboss-sullivan's NPI number?

The NPI number for Lisa Goldboss-sullivan is 1851431639. It was assigned to this individual provider in the NPPES registry on February 8, 2007. The provider is also known as Lisa Goldboss Crna.

Where is Lisa Goldboss-sullivan located?

Lisa Goldboss-sullivan practices at 1447 N Harrison St, Saginaw, MI 48602. The listed phone number is (989) 583-6237.

What is Lisa Goldboss-sullivan's specialty?

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

Is Lisa Goldboss-sullivan enrolled in Medicare?

Yes. Lisa Goldboss-sullivan 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 organization bills Medicare for Lisa Goldboss-sullivan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Goldboss-sullivan reassigns Medicare benefits to Covenant Medical Center, Inc. (Saginaw, MI). The 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 Lisa Goldboss-sullivan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Goldboss-sullivan affiliated with any hospitals?

According to CMS data, Lisa Goldboss-sullivan is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Goldboss-sullivan was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.