Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Ann Provost, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1235106840

Lisa Ann Provost, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marietta, Ohio. Qualified in 1996, 30 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
30
Licensed in
KY, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

401 Matthew St
Marietta, OH 45750-1635
Phone: (740) 376-1994
Fax: (740) 376-1940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence COA.04992-NA (OH)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 3485A (KY)

Record details

NPI number1235106840
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorYes
NPI enumeratedMarch 2, 2006
Last updated in NPPESDecember 13, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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