TRACY LEE OLMSCHEID (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104578152

TRACY LEE OLMSCHEID (CRNA) is a healthcare provider. based in Maple grove, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1412 (MN). The NPI Number for TRACY LEE OLMSCHEID (CRNA) is 1104578152

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
TRACY LEE OLMSCHEID (CRNA)
NPI
1104578152
Phone
Not provided
Address
17732 62ND CT N
Enumeration Date
21 January 2022
Last Update Date
21 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512912848
Graduation Year
2013 (13 years ago)
PAC ID
9133596372
Group Practice PAC ID
0547169211
Professional Enrollment ID
I20221101002160
Address ID
MN551012507SA200XXEXXX400

Contacts

Secure Messaging
Tracylolmscheid@gillettechildrens.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Other namesUpdated within 12 months

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for TRACY LEE OLMSCHEID (CRNA)

  • 17732 62ND CT N

    MAPLE GROVE, MN 553114670

    Phone:

    Type: Mailing

  • 200 UNIVERSITY AVE E

    SAINT PAUL, MN 551012507

    Phone: (651) 291-2848

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2022-11-01

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
I20221101002160ICertified Registered Nurse Anesthetist (Crna)MNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55311)

Loading plans...

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: 0547169211View full group profile
NameSpecialtyState
-MN
Physician AssistantMN
Orthopedic SurgeryMN
Nurse PractitionerMN
Nurse PractitionerMN
N E U R O L O G YMN
Nurse PractitionerMN
-MN
Physical Medicine And RehabilitationMN
Internal Medicine, Pediatric MedicineMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to TRACY LEE OLMSCHEID (CRNA)?
The federal identifier for TRACY LEE OLMSCHEID (CRNA) is NPI 1104578152.
Is TRACY LEE OLMSCHEID (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TRACY LEE OLMSCHEID (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for TRACY LEE OLMSCHEID (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for TRACY LEE OLMSCHEID (CRNA)?
We surface Maple Grove, Minnesota for TRACY LEE OLMSCHEID (CRNA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

JEFFREY MERRIAM (CRNA)

Certified Registered Nurse Anesthetist
Grove Circle North, The Grove, Maple Grove, Hennepin County, Minnesota, 55311-1566, United States
NPI: 1487657847

TIMOTHY JOHN CLUNE (C.R.N.A)

Certified Registered Nurse Anesthetist
15137, Shadow Creek Road, Shadow Creek, Maple Grove, Hennepin County, Minnesota, 55311, United States
NPI: 1720082639

RANDALYN KAYE MERRIAM (CRNA)

Certified Registered Nurse Anesthetist
Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
NPI: 1659370310

ANNETTE J COMBO (CRNA)

Certified Registered Nurse Anesthetist
16913, 80th Place North, Hiller Autumn Woods, Maple Grove, Hennepin County, Minnesota, 55311, United States
NPI: 1477554970

GARY K COZINE (CRNA)

Certified Registered Nurse Anesthetist
393 Dunlap St
NPI: 1174597363

SHELLY E COZINE (CRNA)

Certified Registered Nurse Anesthetist
393 Dunlap St
NPI: 1437123627

JERIN C COPPENGER (CRNA)

Certified Registered Nurse Anesthetist
9645 Grove Cir N Ste 250
NPI: 1578537387

PAMELA A LARSON (CRNA)

Certified Registered Nurse Anesthetist
15966, 71st Place North, Maple Grove, Hennepin County, Minnesota, 55311, United States
NPI: 1710953054

KATHY L STAGGS (CRNA)

Certified Registered Nurse Anesthetist
9645 Grove Cir N Ste 250
NPI: 1508832619