JOSEPH R. LACY (C.R.N.A) – Certified Registered Nurse Anesthetist, NPI 1598740599
Certified Registered Nurse Anesthetist
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Profile Insights
NPPES metrics only — not quality of care.
1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI
Provider Addresses for JOSEPH R. LACY (C.R.N.A)
744 S Webster Ave
Green Bay, WI 543013505
Phone: (920) 433-8300
Type: Location
225, South Executive Drive, Brookfield, Waukesha County, Wisconsin, 53005, United States
BROOKFIELD, WI 530054266
Phone: (262) 787-4026
Type: Mailing
Bellin Hospital Green Bay, 744, South Webster Avenue, Astor, Green Bay, Brown County, Wisconsin, 54305, United States
GREEN BAY, WI 543013505
Phone: (920) 433-8300
Type: Location
1000 N OAK AVE
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Type: Mailing
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: 2019-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040316001356 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
| I20190115003053 | I | Certified Registered Nurse Anesthetist (Crna) | MA | TBD |
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.
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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | WI | 00142 | Anesthesia for lens surgery | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| A N E S T H E S I O L O G Y | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Certified Registered Nurse Anesthetist (Crna) | WI |
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