Doctor profile · Federal record
Dr. Lisa Wodtke, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Warren, MI
- NPI 1962569152
- MIPS 82.4 / 100 · 2023
- 33 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
11800 E 12 Mile RD
Warren, MI 480933472
(586) 573-5260
fax (586) 573-5364
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Michigan #4704163773
- Medicaid
- MI #3153030
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962569152. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
57
Distinct HCPCS
4
Medicare allowed
$4,439
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 19 | 18 | $79 | |
00910 |
Anesthesia for other procedure on urinary system through urethra | 14 | 14 | $67 | |
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 13 | 13 | $73 | |
00918 |
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope | 11 | 11 | $96 |
In context: peer comparison
Among 11 peers in Warren Certified Registered Nurse Anesthetist, average services per provider: 25. This provider delivers 2.3× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Lisa Wodtke's medical specialty?
Dr. Lisa Wodtke practices Certified Registered Nurse Anesthetist in Warren, MI.
Where does Dr. Lisa Wodtke practice?
Dr. Lisa Wodtke practices at 11800 E 12 Mile RD, Warren, MI 480933472. Office phone: 5865735260.
What is Dr. Lisa Wodtke's NPI?
Dr. Lisa Wodtke's National Provider Identifier (NPI) is 1962569152, issued by NPPES.
Does Dr. Lisa Wodtke accept Medicare assignment?
Dr. Lisa Wodtke does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Lisa Wodtke commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731); Anesthesia for other procedure on urinary system through urethra (HCPCS 00910); Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.