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

Lisa C Waggoner, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1568477958

Lisa C Waggoner, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Omaha, Nebraska. Qualified in 2004, 22 years ago. Practices with CHI Health Clinic Physician Enterprise-Anesthesia LLC, a 221-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
22
Licensed in
NE
In the registry since
2006
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

16901 Lakeside Hills Ct
Omaha, NE 68130
Phone: (402) 552-3022
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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 100855 (NE)

Record details

NPI number1568477958
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJune 2, 2024
Certification dateJune 2, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Chi Health Clinic Physician Enterprise-Anesthesia Llc — 221 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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