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

Mrs. Lisa Renee Carroll

Individual provider Certified Registered Nurse Anesthetist · NPI 1770851743

Mrs. Lisa Renee Carroll is a Certified Registered Nurse Anesthetist (CRNA) in Poplar Bluff, Missouri. Qualified in 2011, 15 years ago. Practices with Rural Health Pain Management LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
15
Licensed in
MO
In the registry since
2011

Practice location Address checks out

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone: (573) 785-7721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 146572 (MO)

Record details

NPI number1770851743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2011
Last updated in NPPESDecember 6, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Rural Health Pain Management Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Poplar Bluff