Lisa Yong Kimmerle, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Charlotte, NC

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Lisa Yong Kimmerle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Charlotte, North Carolina. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Carolina Digestive Health Associates Pa, Anesthesia Care Services Pa and her current practice location is 14215 Ballantyne Corporate Pl Ste 210, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-2650.

Lisa Yong Kimmerle is licensed to practice in North Carolina (license number 230428) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124066881.

Contact Information

Lisa Yong Kimmerle, CRNA
14215 Ballantyne Corporate Pl Ste 210,
Charlotte, NC 28277-3873
(704) 316-2650
Not Available

Map and Direction




Provider's Profile

Full NameLisa Yong Kimmerle
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience21 Years
Location14215 Ballantyne Corporate Pl Ste 210, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Yong Kimmerle graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1124066881
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 05/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5294746368
  • Enrollment ID: I20091109000277

Medical Identifiers

Medical identifiers for Lisa Yong Kimmerle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124066881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN178243 (Georgia)Secondary
367500000XNurse Anesthetist, Certified Registered 230428 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolina Digestive Health Associates Pa195120979045
Anesthesia Care Services Pa701293710554

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Yong Kimmerle allows following entities to bill medicare on her behalf.
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487626933
PECOS PAC ID: 1153231907
Enrollment ID: O20031126000588
Entity NameNovant Health Thomasville Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033160205
PECOS PAC ID: 5890605224
Enrollment ID: O20031222000916
Entity NameCarolina Digestive Health Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124052444
PECOS PAC ID: 1951209790
Enrollment ID: O20031230000650
Entity NameCarolina Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699723791
PECOS PAC ID: 1456251057
Enrollment ID: O20040115000938
Entity NameMedical Park Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003867516
PECOS PAC ID: 4880595958
Enrollment ID: O20040120000968
Entity NameThe Presbyterian Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053365817
PECOS PAC ID: 1153231907
Enrollment ID: O20040223001121
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702
Entity NameNovant Health Rowan Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508931544
PECOS PAC ID: 3375452519
Enrollment ID: O20040422001655
Entity NameNovant Health Matthews Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184782419
PECOS PAC ID: 6406845247
Enrollment ID: O20051114000445
Entity NamePresbyterian Sameday Surgery Center At Ballantyne Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1215061049
PECOS PAC ID: 4587759949
Enrollment ID: O20070928000739
Entity NameAnesthesia Care Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609833474
PECOS PAC ID: 7012937105
Enrollment ID: O20090813000373
Entity NamePresbyterian Sameday Surgery Center At Huntersville Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1063641801
PECOS PAC ID: 8426197971
Enrollment ID: O20100521000450
Entity NameNmg Southpark Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952690109
PECOS PAC ID: 6901075977
Enrollment ID: O20110808000705
Entity NameCarolina Regional Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891072609
PECOS PAC ID: 5496921769
Enrollment ID: O20120109000406
Entity NameBrunswick Community Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669725198
PECOS PAC ID: 9335150895
Enrollment ID: O20130903000403
Entity NameNovant Health Kernersville Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1750892659
PECOS PAC ID: 3870858525
Enrollment ID: O20180530000007
Entity NameNovant Health Mint Hill Medical Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063910404
PECOS PAC ID: 8123374394
Enrollment ID: O20181018000540
Entity NameNovant Health Clemmons Outpatient Surgery Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1528521887
PECOS PAC ID: 6103154778
Enrollment ID: O20190820003091
Entity NameNovant Health Ballantyne Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760190607
PECOS PAC ID: 4880065143
Enrollment ID: O20230518003163

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Yong Kimmerle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Yong Kimmerle, CRNA
616 Winter Wheat Ct,
Weddington, NC 28104-6136

Ph: (704) 774-9225		Lisa Yong Kimmerle, CRNA
14215 Ballantyne Corporate Pl Ste 210,
Charlotte, NC 28277-3873

Ph: (704) 316-2650

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Charlotte, NC

Welo Sylvie Olenga, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-384-4239    Fax: 704-384-5636
Mr. Kevin E. West, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Mrs. Colleen M. Ebner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Mrs. Christine E. Jones, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-8983    Fax: 704-355-8994
Meredith L Draper, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    
Alison Anne Woodruff, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203
Phone: 704-355-2000    
Raven Danielle Lyles,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 704-384-4274    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.