TARA LEE MACLAREN-GIBSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720171861

TARA LEE MACLAREN-GIBSON (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. 47054231671 (MI). The NPI Number for TARA LEE MACLAREN-GIBSON (CRNA) is 1720171861

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TARA LEE MACLAREN-GIBSON (CRNA)
NPI
1720171861
Phone
(517) 787-6440
Address
255 W MICHIGAN AVE
Enumeration Date
2 October 2006
Last Update Date
24 June 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5864736400
Graduation Year
2005 (21 years ago)
PAC ID
8224047030
Group Practice PAC ID
4486790219
Professional Enrollment ID
I20060406000053
Address ID
MI480472926CH36750RDXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for TARA LEE MACLAREN-GIBSON (CRNA)

  • 255, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States

    JACKSON, MI 492012218

    Phone: (517) 787-6440

    Fax: (517) 787-4146

    Type: Mailing

  • Saint Joseph Mercy Oakland, 44405, Woodward Avenue, Pontiac, Oakland County, Michigan, 48341, United States

    PONTIAC, MI 483415023

    Phone: (248) 858-6593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-10-26 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060406000053ICertified Registered Nurse Anesthetist (Crna)MITBD

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
00811Anesthesia for other procedure on large bowel using an endoscope5252$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3030$0
00812Anesthesia for exam of colon using an endoscope2929$0
00813Anesthesia for procedure on small and large bowel using an endoscope2323$0
00142Anesthesia for lens surgery1715$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: 4486790219View full group profile
NameSpecialtyState
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What identifier follows TARA LEE MACLAREN-GIBSON (CRNA) across health systems?
The NPI 1720171861 uniquely identifies TARA LEE MACLAREN-GIBSON (CRNA) in U.S. healthcare data.
Is TARA LEE MACLAREN-GIBSON (CRNA)'s NPI status active today?
Active status means TARA LEE MACLAREN-GIBSON (CRNA)'s NPI record is not deactivated in the public file.
What does the directory say TARA LEE MACLAREN-GIBSON (CRNA) does?
Insurance directories may phrase it differently, but here TARA LEE MACLAREN-GIBSON (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit TARA LEE MACLAREN-GIBSON (CRNA) in Jackson, Michigan?
For routing, start with Jackson, Michigan for TARA LEE MACLAREN-GIBSON (CRNA), then verify phone and hours locally.
Why is information missing for TARA LEE MACLAREN-GIBSON (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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