Individual ProviderLisa ElhardtNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Seattle, WA 98101-2756(206) 223-6980(206) 515-5811PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Elhardt does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134167976Provider TypeIndividualFull NameElhardt, LisaCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date6/3/2006Last Updated5/10/2013Contact InformationPractice LocationPractice Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 223-6980Fax(206) 223-6982Mailing LocationMailing Address1100 9th Ave, Seattle, WA 98101-2756Phone(206) 515-5811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP30004949WashingtonCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN00088260WashingtonProvider IdentifiersIDDescriptionIssuerID9626292DescriptionMedicaidIssuerUnlistedWashington