LISA A SULLIVAN C.R.N.A.
NPI 1992783328
Nurse Anesthetist, Certified Registered in Fort Myers, FL

Active since January 05, 2006Accepts Medicare Assignment
62.15/100
CMS Quality Rating
8380 RIVERWALK PARK BLVD STE 220, FORT MYERS, FL 33919(239) 215-4104 Get Directions Write a Review

NPPES record last updated: October 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2022, Mar 22, 2021 (2 updates tracked since 2021).

About Lisa A Sullivan C.r.n.a. NPPES

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

LISA A SULLIVAN C.R.N.A. (NPI 1992783328) is an individual nurse anesthetist, certified registered in Fort Myers, Florida, licensed in New Hampshire (033956-23) and active in the NPI registry since January 2006. She is affiliated with Physicians Regional Medical Center - Pine Ridge, maintains 3 additional practice locations, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1992783328
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLISA A SULLIVANCredential: C.R.N.A.
Location Address8380 RIVERWALK PARK BLVD STE 220Fort Myers, FL 33919-8758
Mailing Address4261 Tree Tops DrPort Charlotte, FL 33953-5919 · (603) 591-5739
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 5, 2006
Last NPPES UpdateOctober 29, 20222 updates tracked since enumeration
NPPES CertifiedOctober 29, 2022
NPI 1992783328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in NH · 033956-23
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 033956-23-11 (NH)
8380 RIVERWALK PARK BLVD STE 220, Fort Myers, FL 33919

Secondary Practice Locations 3

Location 1100 McGregor StManchester, NH 03102-3730 · Phone (603) 668-3545
Location 221298 Olean BlvdPort Charlotte, FL 33952-6705 · Phone (941) 629-1181
Location 313681 Doctors WayFort Myers, FL 33912-4300 · Phone (239) 343-1000

Accepted 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 A Sullivan C.r.n.a. 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 ID547217168
PECOS Enrollment IDI20050406000399, I20181101003099, I20230427001233

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.
29 services29 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
23 services23 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
16 services16 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Catholic Medical Center

Acute Care Hospitals · Manchester, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300034
Location100 Mcgregor StreetManchester, NH 03102 · Hillsborough County
Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number420067
Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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.

62.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.32
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Anesthesiology
8380 RIVERWALK PARK BLVD STE 220
FORT MYERS, FL 33919
Nurse Anesthetist, Certified Registered
8380 RIVERWALK PARK BLVD STE 220
FORT MYERS, FL 33919
Clinic/Center (Ambulatory Surgical)
8380 RIVERWALK PARK BLVD STE 220
FORT MYERS, FL 33919
Nurse Anesthetist, Certified Registered
8380 RIVERWALK PARK BLVD STE 220
FORT MYERS, FL 33919

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 Sullivan's NPI number?

The NPI number for Lisa Sullivan is 1992783328. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Lisa Sullivan located?

Lisa Sullivan practices at 8380 Riverwalk Park Blvd Ste 220, Fort Myers, FL 33919. The listed phone number is (239) 215-4104.

What is Lisa Sullivan's specialty?

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

Is Lisa Sullivan enrolled in Medicare?

Yes. Lisa 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.

What insurance does Lisa Sullivan accept?

Health plans from BlueCross BlueShield of South Carolina, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Lisa Sullivan 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 Sullivan affiliated with any hospitals?

According to CMS data, Lisa Sullivan is affiliated with Physicians Regional Medical Center - Pine Ridge, Catholic Medical Center and Beaufort County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Sullivan was last updated on October 29, 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.