Mrs Lisa Renee Carroll, - Medicare Certified Registered Nurse Anesthetist (crna) in Poplar Bluff, MO

Mrs Lisa Renee Carroll, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Poplar Bluff, Missouri. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Capital Anesthesia Solutions Of Missouri, Llc and her current practice location is 2620 N Westwood Blvd, Poplar Bluff, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 785-7721.

Mrs Lisa Renee Carroll is licensed to practice in Missouri (license number 146572) 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 1770851743.

Contact Information

Mrs Lisa Renee Carroll,
2620 N Westwood Blvd,
Poplar Bluff, MO 63901-3396
(573) 785-7721
Not Available

Map and Direction




Provider's Profile

Full NameMrs Lisa Renee Carroll
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location2620 N Westwood Blvd, Poplar Bluff, Missouri
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:
  • Mrs Lisa Renee Carroll graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1770851743
  • Provider Enumeration Date: 12/06/2011
  • Last Update Date: 12/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 6800055682
  • Enrollment ID: I20120314000554

Medical Identifiers

Medical identifiers for Mrs Lisa Renee Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770851743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 146572 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Poplar Bluff Regional Medical CenterPoplar bluff, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Capital Anesthesia Solutions Of Missouri, Llc145676488523

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. Mrs Lisa Renee Carroll allows following entities to bill medicare on her behalf.
Entity NameClinical Colleagues Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992725766
PECOS PAC ID: 8729011333
Enrollment ID: O20130507000341
Entity NameCapital Anesthesia Solutions Of Missouri, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770185472
PECOS PAC ID: 1456764885
Enrollment ID: O20210104001560

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. Mrs Lisa Renee Carroll 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
Mrs Lisa Renee Carroll,
208 Hunter Rd,
Poplar Bluff, MO 63901-7486

Ph: (573) 778-9214
Mrs Lisa Renee Carroll,
2620 N Westwood Blvd,
Poplar Bluff, MO 63901-3396

Ph: (573) 785-7721

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Poplar Bluff, MO

Ms. Shirley A Jautz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 221 Physicians Park, Poplar Bluff, MO 63901
Phone: 573-727-9080    
Joshua Ryan Morse,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3100 Oak Grove Rd, Poplar Bluff, MO 63901
Phone: 573-776-2000    
Shane D Faltys, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-718-2710    
Timothy Paul Kordick, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-686-4111    
Roger Dean Faltys, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-727-2295    
Mr. Glenn Dean Carlton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 621 W Pine St, Poplar Bluff, MO 63901
Phone: 573-686-4111    
Mr. Richard Leroy Crayton,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2620 N Westwood Blvd, Poplar Bluff, MO 63901
Phone: 573-785-7721    

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.