Lisa Ann Provost is a Marietta, Ohio based nurse anesthetist with 29 years of experience as Anesthesia Administration. She completed she graduation in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lisa Ann Provost is COA.04992-NA for Anesthesia Administration in Ohio. Her current practice location is 401 Matthew St, Marietta. Patients can reach her at 740-376-1994 or can fax her at 740-376-1940. Lisa Ann Provost is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1235106840. Lisa Ann Provost is a certified 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.
Complete Profile:
Lisa Ann Provost speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
29+ years
Medical School Attended:
Other
Graduation Year:
1996
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
401 Matthew St, Marietta, Ohio, 45750-1635
Phone:
740-376-1994
Fax:
740-376-1940
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1850367459
Enrollment ID:
I20160613002086
NPI Number:
1235106840
NPI Enumeration Date:
02 Mar, 2006
NPI Last Update On:
13 Dec, 2017
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lisa Ann Provost are as mentioned below.
License Number
Specialization
State
Status
COA.04992-NA
Anesthesia Administration
Ohio
Primary
3485A
Anesthesia Administration
Kentucky
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Lisa Ann Provost has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Oasis Anesthesia Llc (5597063834)
11
Other Medical Identifiers:
Other legacy medical identifiers associated with Lisa Ann Provost such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
0069080000
Medicaid
West Virginia
0282617
Medicaid
Ohio
74472408
Medicaid
Kentucky
000000339679
Other
Kentucky
ANTHEM BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 449, Marietta, Ohio
Zip:
45750-0449
Phone Number:
740-374-4500
Fax Number:
740-374-5887
Patients can reach Lisa Ann Provost at 401 Matthew St, Marietta, Ohio or can call to book an appointment on 740-376-1994.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.