LISA W BARAK-FREEDMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1790712586

LISA W BARAK-FREEDMAN (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. 4704147167 (MI). The NPI Number for LISA W BARAK-FREEDMAN (CRNA) is 1790712586

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
LISA W BARAK-FREEDMAN (CRNA)
NPI
1790712586
Phone
(517) 787-6440
Address
255 W MICHIGAN AVE
Enumeration Date
27 June 2006
Last Update Date
10 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2483573360
Graduation Year
1988 (38 years ago)
PAC ID
7719956929
Group Practice PAC ID
7113818980
Professional Enrollment ID
I20040924000811
Address ID
MI480336035SO23901RDXX300
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 LISA W BARAK-FREEDMAN (CRNA)

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

    P O BOX 1123

    JACKSON, MI 492041123

    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) 586-6539

    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: 2004-09-24

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
I20040924000811ICertified 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
00142Anesthesia for lens surgery574527$0
00140Anesthesia for other procedure on eye6963$0
00103Anesthesia for procedure on eyelid1515$0
View full utilization report →

Insurance plans in this area (ZIP 49204)

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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: 7113818980View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YMI

Reviews

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Frequently asked questions

Is there an official ID for LISA W BARAK-FREEDMAN (CRNA) in U.S. healthcare records?
The official identifier for LISA W BARAK-FREEDMAN (CRNA) is NPI 1790712586.
Is LISA W BARAK-FREEDMAN (CRNA) still an active registrant?
LISA W BARAK-FREEDMAN (CRNA) carries an active NPI according to the public dataset.
What area of care is associated with LISA W BARAK-FREEDMAN (CRNA)?
LISA W BARAK-FREEDMAN (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Michigan is LISA W BARAK-FREEDMAN (CRNA) registered?
Use Jackson, Michigan as the headline location for LISA W BARAK-FREEDMAN (CRNA) here.
When was this NPI issued?
Enumeration for LISA W BARAK-FREEDMAN (CRNA) is noted as June 27, 2006 where the registry provides it.

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