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

Lisa Yong Kimmerle, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1124066881

Lisa Yong Kimmerle, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Charlotte, North Carolina. Qualified in 2003, 23 years ago. Practices with Anesthesia Care Services PA, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
23
Licensed in
GA, NC
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

14215 Ballantyne Corporate Pl Ste 210
Charlotte, NC 28277-3873
Phone: (704) 316-2650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (770) 963-9905

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 230428 (NC)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN178243 (GA)

Record details

NPI number1124066881
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Anesthesia Care Services Pa — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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