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

Paul David Lystrup, CRNA

Individual provider Registered Nurse · NPI 1831499920

Paul David Lystrup, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Syracuse, New York. Qualified in 2010, 16 years ago. Practices with Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC, a 86-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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

4900 Broad Rd
Syracuse, NY 13215-2265
Phone: (315) 492-5011
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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 636868 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 22 636868 (NY)

Record details

NPI number1831499920
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 24, 2010
Last updated in NPPESApril 26, 2011

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Premier Anesthesia Of Richland A Division Of Premier Anesthesia, Llc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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