Timothy Robert Lucisano is a Charlotte, North Carolina based nurse anesthetist with 22 years of experience as Anesthesia Administration. He completed he graduation in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Timothy Robert Lucisano is 102492 for Anesthesia Administration in North Carolina. his current practice location is 10628 Park Rd, Anesthesia Department, Charlotte. Patients can reach him at 704-667-1000. Timothy Robert Lucisano is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1699702043.
Timothy Robert Lucisano 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:
Timothy Robert Lucisano 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: | 22+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2003 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 10628 Park Rd, Anesthesia Department, Charlotte,
North Carolina, 28210-8407 |
| Phone: | 704-667-1000 |
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: | 0547294316 |
| Enrollment ID: | I20050921000438 |
| NPI Number: | 1699702043 |
| NPI Enumeration Date: | 28 Jun, 2006 |
| NPI Last Update On: | 14 Aug, 2008 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Timothy Robert Lucisano are as mentioned below.
| License Number | Specialization | State | Status | |
| 102492 | Anesthesia Administration | North Carolina | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| Carolinas Medical Center-pineville (340098) | Charlotte, NC | Acute Care Hospital |
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 Timothy Robert Lucisano has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Chs Anesthesia Services Group Inc (5799007324) | 515 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Timothy Robert Lucisano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8051806 | Medicaid | North Carolina | |
| NAN635 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10628 Park Rd, Anesthesia Department
Charlotte, North Carolina |
| Zip: | 28210-8407 |
| Phone Number: | 704-667-1971 |
| Fax Number: | -- |
Patients can reach Timothy Robert Lucisano at
10628 Park Rd, Anesthesia Department, Charlotte, North Carolina or can
call to book an appointment on 704-667-1000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.