LAUREN ELIZABETH DOUGLASS CRNA
NPI 1730428129
Nurse Anesthetist, Certified Registered in Mount Vernon, IL

Q: What is Lauren Douglass's NPI number?

The NPI number for Lauren Douglass is 1730428129. It was assigned to this individual provider in the NPPES registry on February 5, 2013. The provider is also known as Lauren Elizabeth Demarco.

Q: What is Lauren Douglass's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Douglass was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since February 05, 2013PECOS EnrolledAccepts Medicare Assignment

1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 241-1108 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Lauren Elizabeth Douglass Crna NPPES

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

LAUREN ELIZABETH DOUGLASS CRNA (NPI 1730428129) is an individual nurse anesthetist, certified registered in Mount Vernon, Illinois, licensed in Illinois (209010201) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2012).

NPPES Registry Identity

NPI1730428129

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLAUREN ELIZABETH DOUGLASSCredential: CRNA

Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402

Mailing Address1 Good Samaritan WayMount Vernon, IL 62864-2402 · (618) 241-1108

Phone(618) 241-1108

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2012

Enumeration DateFebruary 5, 2013

Last NPPES UpdateSeptember 19, 2014

✔ NPI 1730428129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in IL · 209010201

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.

1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

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Other Names 1

Former Name (1)Lauren Elizabeth Demarco

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Elizabeth Douglass 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 ID7911144290

PECOS Enrollment IDI20130503000399

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Lauren Douglass reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marion Eye Center Anesthesia Group Inc

38 mi

Anesthesiology

1200 W DEYOUNG ST
Marion, IL 62959

Reassigned Medicare billing, Illinois enrollment
5 clinicians in this Medicare group

NPI 1235413246 (618) 993-5686

G & G Anesthesia LLC

63 mi

Nurse Anesthetist, Certified Registered

2023 VADALABENE DR STE 350
Maryville, IL 62062

Reassigned Medicare billing, Illinois enrollment
149 clinicians in this Medicare group

NPI 1487020111 (618) 205-8302

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

77 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

DR. EMMANUEL LOUTRIANAKIS MD

Internal Medicine (Interventional Cardiology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (847) 736-0506

DR. QING KEVIN LUO M.D.

Internal Medicine

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Rehabilitation Unit

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

ADELAIDE HORCHER M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

MRS. JILL CLARKE PHARM. D.

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

KENT S QUINN MD

Radiology (Body Imaging)

1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864

Jefferson County (618) 242-4600

GOOD SAMARITAN REGIONAL HEALTH CENTER

Specialist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-4600

DEREK BURNS PHARMD

Pharmacist

1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Jefferson County (618) 899-3426

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 Lauren Douglass's NPI number?

The NPI number for Lauren Douglass is 1730428129. It was assigned to this individual provider in the NPPES registry on February 5, 2013. The provider is also known as Lauren Elizabeth Demarco.

Where is Lauren Douglass located?

Lauren Douglass practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 241-1108.

What is Lauren Douglass's specialty?

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

Is Lauren Douglass enrolled in Medicare?

Yes. Lauren Douglass 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.

Which organizations bill Medicare for Lauren Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Douglass reassigns Medicare benefits to 2 organizations: Marion Eye Center Anesthesia Group Inc (Marion, IL) and G & G Anesthesia LLC (Maryville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Douglass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lauren Douglass was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.