P Praxis·MD
● Active Type 1 · Individual

Lisa Diane Blacketter, CRNA

Nurse Anesthetist, Certified Registered·Victoria, TX· NPI 1851630040 · Enumerated 2013 · 13 years on NPI
Blacketter is 1 of 21 nurse anesthetist, certified registered providers in Victoria and 1 of 6676 in Texas.
NPI age
13 years
Enumerated 2013-02-07
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
IL
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6676 active nurse anesthetist, certified registered providers in Texas.

NPI age
13 years
≈ at median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
2701 Hospital Dr
Victoria, TX 779015749
📞 3615739181fax 3615825743
Mailing address
2701 Hospital Dr
Victoria, TX 779015749
📞 3615739181fax 3615825743

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    IL license #209010216 taxonomy 367500000X

Practice context

Part of a multi-provider practice. 72 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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