TRACY LYNN BLAIR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1578689220

TRACY LYNN BLAIR (CRNA) is a healthcare provider. based in Tinley park, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 19499 (SC). The NPI Number for TRACY LYNN BLAIR (CRNA) is 1578689220

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TRACY LYNN BLAIR (CRNA)
NPI
1578689220
Phone
(815) 469-0320
Address
8107 STONEGATE DR
Enumeration Date
22 March 2007
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
8434021436
Graduation Year
2005 (21 years ago)
PAC ID
4082711916
Group Practice PAC ID
8325008717
Professional Enrollment ID
I20161111002007
Address ID
SC294145733CH2095XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for TRACY LYNN BLAIR (CRNA)

  • 8107 STONEGATE DR

    TINLEY PARK, IL 604877191

    Phone: (815) 469-0320

    Type: Mailing

  • PO BOX 603484

    CHARLOTTE, NC 282603484

    Phone: (803) 765-1838

    Type: Mailing

  • 2095 HENRY TECKLENBURG DR

    CHARLESTON, SC 294145733

    Phone: (843) 402-1436

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070529000437ICertified Registered Nurse Anesthetist (Crna)INTBD
I20161111002007ICertified Registered Nurse Anesthetist (Crna)SCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement2727$0
00670Anesthesia for extensive surgery on spine1414$0
01214Anesthesia for total hip replacement1414$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 60487)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325008717View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)SC
Hematology/Oncology, Internal MedicineNC
-SC
H E M A T O L O G Y/ O N C O L O G YSC
Internal Medicine, RheumatologySC
-SC
Nurse PractitionerNC
-NC
Anesthesiology AssistantGA

Reviews

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Frequently asked questions

Can I verify TRACY LYNN BLAIR (CRNA) with an NPI only?
You can start verification with NPI 1578689220 for TRACY LYNN BLAIR (CRNA), then check state licensing separately.
Does the file indicate TRACY LYNN BLAIR (CRNA) is practicing under active NPI?
Directory data currently reports TRACY LYNN BLAIR (CRNA) as active.
What is TRACY LYNN BLAIR (CRNA) best known for clinically?
Directory data describes TRACY LYNN BLAIR (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect TRACY LYNN BLAIR (CRNA) on a map?
Expect Tinley Park, Illinois as a primary anchor for TRACY LYNN BLAIR (CRNA) unless the record lists multiple sites.
Is the information about TRACY LYNN BLAIR (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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