TERESA LACEK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154617769

TERESA LACEK (CRNA) is a healthcare provider. based in Jackson, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209.008841 (IL). The NPI Number for TERESA LACEK (CRNA) is 1154617769

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
TERESA LACEK (CRNA)
NPI
1154617769
Phone
(800) 242-1131
Address
255 W MICHIGAN AVE
Enumeration Date
22 June 2011
Last Update Date
22 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084788889
Graduation Year
2011 (15 years ago)
PAC ID
7214108943
Group Practice PAC ID
6709249006
Professional Enrollment ID
I20110928000886
Address ID
IL604488683MO19110DRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

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

Provider Addresses for TERESA LACEK (CRNA)

  • 255 W MICHIGAN AVE

    JACKSON, MI 492012218

    Phone: (800) 242-1131

    Type: Mailing

  • 1 KISH HOSPITAL DR

    DEKALB, IL 601159602

    Phone: (815) 756-1521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $164.

Total Amount is formed as General ($164) + Research ($0) + Ownership ($0) = $164.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Boston Scientific Corporation ($43).

Total Amount

$164

General + Research + Ownership

Payments

7

Total payment records

General Amount

$164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2014-06-11

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
I20110928000886ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20140611000698ICertified Registered Nurse Anesthetist (Crna)INTBD

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
00902Anesthesia for procedure on anus and rectum150138$0
00910Anesthesia for other procedure on urinary system through urethra8877$0
View full utilization report →

Insurance plans in this area (ZIP 49201)

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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: 6709249006View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IN
Hospice/Palliative Care, Anesthesiology, Interventional Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MT
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Can I use this page to confirm TERESA LACEK (CRNA)'s NPI?
Yes. TERESA LACEK (CRNA) is listed with NPI 1154617769 in the public NPI dataset.
Does CMS list TERESA LACEK (CRNA) as active?
Yes — TERESA LACEK (CRNA) is active in the NPI listing used on this page.
What taxonomy line describes TERESA LACEK (CRNA)?
For research purposes, treat TERESA LACEK (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect TERESA LACEK (CRNA) on a map?
Expect Jackson, Michigan as a primary anchor for TERESA LACEK (CRNA) unless the record lists multiple sites.
Is the information about TERESA LACEK (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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