Lisa Diane Blacketter, CRNA
Certified Registered Nurse Anesthetist · Port Lavaca, TX
Lisa Diane Blacketter, CRNA is a certified registered nurse anesthetist with a practice address in Port Lavaca, Texas, and NPI 1851630040, issued on Feb 7, 2013. Check the license with the Texas board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Lisa Diane Blacketter
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 209010216 IL
Self-reported in NPPES; status is on the state search - Practice location
- 815 N Virginia St, Port Lavaca, TX 77979
- Phone
- (361) 552-6713
- Enumerated
- Feb 7, 2013
- Record last updated
- Jul 6, 2026
- Medicare enrollment
- Enrolled (PECOS I20230119001483); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 815 N Virginia St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kristi Boyd, FNP-CFamily Nurse Practitioner1134776545
- Penny Clay, D.O.Emergency Medicine Physician1598763617
- Robert Coleman, CRNACertified Registered Nurse Anesthetist1083658546
- Gregory Cowart, CRNACertified Registered Nurse Anesthetist1528070885
- Penny Goulden, PT, DPTPhysical Therapist1750811733
- Adam Myers, CRNACertified Registered Nurse Anesthetist1003522525
Verify Lisa Diane Blacketter in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Citizens Medical Center County OF VictoriaVictoria, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
6 certified registered nurse anesthetist records list a practice address in Port Lavaca
They are 6 of the 106 NPPES records with a practice address in Port Lavaca, and 6,097 certified registered nurse anesthetist records in Texas.
All 6 in Port Lavaca → All 6,097 in Texas → Every provider in Port Lavaca →
Other certified registered nurse anesthetist records in Texas
- Kristine Joy Abalos, CRNAHouston, TX1912550260
- Ligaya Abangan, CRNAHouston, TX1922088384
- Nemuel Abasta, CRNAGalveston, TX1316339690
- Eileen Abbasi, CRNADallas, TX1588918981
- Guy Abbey, CRNALa Grange, TX1235249400
- Amelia Abbott, CRNAHouston, TX1225142995
- Cordero Abdullah, CRNAGrandview, TX1477339125
- Tanja Abercrombie, CRNAAustin, TX1720047020
- Abigail Ables, CRNACorpus Christi, TX1942124748
- Hollye Abner, CRNAHarlingen, TX1457990202
Common questions
What is Lisa Diane Blacketter, CRNA's NPI number?
Lisa Diane Blacketter, CRNA's National Provider Identifier (NPI) is 1851630040, issued on Feb 7, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Lisa Diane Blacketter, CRNA located?
The NPPES record lists a practice address at 815 N Virginia St, Port Lavaca, TX, 77979. Phone: (361) 552-6713. Providers update this record themselves, so call before visiting.
How can I verify Lisa Diane Blacketter, CRNA's license?
Search the Texas board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.