Kayla Marie Tisza, DNP, CRNA
Nurse Anesthetist, Certified Registered in Belleville, IL. Individual provider (NPI-1).
Details
- NPI
- 1841815784
- Entity type
- Individual (NPI-1)
- Name
- Kayla Marie Tisza
- Credential
- DNP, CRNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2020
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.021418 | IL | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | 10043856 | OR |
Practice location
4500 Memorial DrBelleville, IL 62226-5360
Phone 618-233-7750
Mailing address
4056 Cleveland Ave Apt 1wSaint Louis, MO 63110-3959
Phone 312-953-0355
Other practice locations
Portland, OR 97239-3011
Phone 503-494-7641 · Fax 503-494-4661
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 64 Certified Registered Nurse Anesthetist providers in Belleville · All 1,953 providers in Belleville
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