JULIE A PODLASIK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043343155

JULIE A PODLASIK (CRNA) is a healthcare provider. based in Green bay, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209006369 (IL). The NPI Number for JULIE A PODLASIK (CRNA) is 1043343155

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
JULIE A PODLASIK (CRNA)
NPI
1043343155
Phone
(920) 445-7210
Address
744 S WEBSTER AVE
Enumeration Date
14 March 2007
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
9204330111
Graduation Year
2006 (20 years ago)
PAC ID
5496856809
Group Practice PAC ID
4486613858
Professional Enrollment ID
I20101214000566
Address ID
WI543013526GR835XXSTXX500

Contacts

Secure Messaging
jpodlasik113247@ewd.direct.hhs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

1,141 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for JULIE A PODLASIK (CRNA)

  • 744 S WEBSTER AVE

    GREEN BAY, WI 543013505

    Phone: (920) 445-7210

    Fax: (920) 445-7289

    Mailing address matches the actual address.

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: 2010-12-14

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
I20101214000566ICertified Registered Nurse Anesthetist (Crna)WITBD

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 54301)

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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: 4486613858View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
-MI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

What is the 10-digit NPI for JULIE A PODLASIK (CRNA)?
JULIE A PODLASIK (CRNA) — NPI 1043343155 — is the standard way to identify this listing.
Is JULIE A PODLASIK (CRNA) still practicing?
JULIE A PODLASIK (CRNA) is currently listed as active in the public NPI registry.
What is JULIE A PODLASIK (CRNA) best known for clinically?
Directory data describes JULIE A PODLASIK (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does JULIE A PODLASIK (CRNA) list a practice location?
Patients near Green Bay, Wisconsin may find JULIE A PODLASIK (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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