NICOLE ANN LAWITZKE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1225316946

NICOLE ANN LAWITZKE (CRNA) is a healthcare provider. based in Johnson city, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APN15890 (TN). The NPI Number for NICOLE ANN LAWITZKE (CRNA) is 1225316946

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ANN LAWITZKE (CRNA)
NPI
1225316946
Phone
(423) 283-0776
Address
1009 LARK ST STE 2
Enumeration Date
29 July 2011
Last Update Date
27 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234343700
Graduation Year
2011 (15 years ago)
PAC ID
9032380308
Group Practice PAC ID
1254677222
Professional Enrollment ID
I20110927000812
Address ID
TN376046063JO310XXRDXX605
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,753 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for NICOLE ANN LAWITZKE (CRNA)

  • 1009 LARK ST STE 2

    JOHNSON CITY, TN 376048218

    Phone: (423) 283-0776

    Fax: (423) 968-5697

    Type: Mailing

  • 400 N STATE OF FRANKLIN RD

    JOHNSON CITY, TN 37604

    Phone: (423) 431-6111

    Type: Location

  • 1009 NOVUS DR STE 2

    JOHNSON CITY, TN 376048237

    Phone: (423) 283-0776

    Fax: (423) 968-5697

    Type: Mailing

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

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: 2011-09-27

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
I20110927000812ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 endoscope1818$0
00320Anesthesia for other procedure on neck area (1 year or older)1716$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 37604)

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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: 1254677222View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
-TN

Reviews

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Frequently asked questions

Does NICOLE ANN LAWITZKE (CRNA) have a public NPI I can cite?
Public records show NICOLE ANN LAWITZKE (CRNA) under NPI 1225316946.
Does the public listing show NICOLE ANN LAWITZKE (CRNA) as active?
NICOLE ANN LAWITZKE (CRNA)'s NPI record reflects an active status in NPPES.
What does the directory say NICOLE ANN LAWITZKE (CRNA) does?
Insurance directories may phrase it differently, but here NICOLE ANN LAWITZKE (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE ANN LAWITZKE (CRNA)?
The directory associates NICOLE ANN LAWITZKE (CRNA) with Johnson City, Tennessee. Check all listed addresses for suites or satellite offices.
Why is information missing for NICOLE ANN LAWITZKE (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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