1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

LACEY RENEE ANDERSON CRNA
NPI 1669093175
Nurse Anesthetist, Certified Registered in Green Bay, WI

Active since May 06, 2020Accepts Medicare Assignment
84.69/100
CMS Quality Rating
835 S VAN BUREN ST, GREEN BAY, WI 54301(417) 499-9141 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2023, Dec 16, 2021, May 6, 2020 (3 updates tracked since 2020).

About Lacey Renee Anderson Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY RENEE ANDERSON CRNA (NPI 1669093175) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (10419-33) and active in the NPI registry since May 2020. She is affiliated with St Vincent Hospital, maintains a secondary practice location in Green Bay, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1669093175
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLACEY RENEE ANDERSONCredential: CRNA
Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526
Mailing Address4228 Downton CirGreen Bay, WI 54313-9110 · (417) 499-9141
Phone(417) 499-9141
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 6, 2020
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1669093175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WI · 10419-33
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
835 S VAN BUREN ST, Green Bay, WI 54301
Open in Google Maps ↗

Other Names 1

Former Name (1)Lacey Renee Groff

Secondary Practice Location 1

Location 11726 Shawano AveGreen Bay, WI 54303-3216 · Phone (417) 499-9141

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lacey Renee Anderson Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628490430
PECOS Enrollment IDI20200624002840

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY LYNN BARTEL MD
Pediatrics
835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. EKMINI WIJESINGHE MD
Hospitalist
835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301
Brown County (920) 272-1586
SALLY SCHLISE MD
Radiology (Radiation Oncology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8184
GREEN BAY ANESTHESIA ASSOC. SC
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
LEE JAMES KLEMENS MD
Internal Medicine
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. REGINALD E JULIEN M.D.
Anesthesiology
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-0111
ASHLEY M SPINDLER PA
Physician Assistant
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. CHARLES F DAIS II M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
835 S VAN BUREN ST
GREEN BAY, WI 54301
Brown County (920) 433-8047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Anderson's NPI number?

The NPI number for Lacey Anderson is 1669093175. It was assigned to this individual provider in the NPPES registry on May 6, 2020. The provider is also known as Lacey Renee Groff.

Where is Lacey Anderson located?

Lacey Anderson practices at 835 S Van Buren St, Green Bay, WI 54301. The listed phone number is (417) 499-9141.

What is Lacey Anderson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Lacey Anderson enrolled in Medicare?

Yes. Lacey Anderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lacey Anderson affiliated with any hospitals?

According to CMS data, Lacey Anderson is affiliated with St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Lacey Anderson was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.