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MS. LEEANN PETAK CRNA
NPI 1912159740
Nurse Anesthetist, Certified Registered in Decatur, IL

Active since October 10, 2008PECOS EnrolledAccepts Medicare Assignment
2300 N EDWARD ST, DECATUR, IL 62526(217) 876-8121(217) 876-2261 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2023, Dec 9, 2022, Sep 17, 2019 (3 updates tracked since 2019).

About Ms. Leeann Petak Crna NPPES

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

MS. LEEANN PETAK CRNA (NPI 1912159740) is an individual nurse anesthetist, certified registered in Decatur, Illinois, licensed in Illinois (209.007167) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with Kirby Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1912159740
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. LEEANN PETAKCredential: CRNA
Location Address2300 N EDWARD STDecatur, IL 62526-4163
Mailing Address2300 N Edward StDecatur, IL 62526-4163 · (217) 876-8121 · Fax (217) 876-2261
Phone(217) 876-8121
Fax(217) 876-2261
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 10, 2008
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1912159740 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 · 209.007167
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.
2300 N EDWARD ST, Decatur, IL 62526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Ms. Leeann Petak 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 ID3072662758
PECOS Enrollment IDI20090529000229, I20250911001001
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

6

Medicare enrollment records show Leeann Petak reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North American Partners In Anesthesia (illinois), LLC
37 mi
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1699032524 (630) 990-9729
Carle Health Medical Group
43 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Sarah Bush Lincoln Health Center
45 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525
St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third
56 mi
General Acute Care Hospital
503 N MAPLE ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • 104 clinicians in this Medicare group
NPI 1306800602 (217) 347-1333
Crawford Hospital District
74 mi
Urology
804 W JOURDAN ST
Newton, IL 62448
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265493720 (Illinois)
  • 145 clinicians in this Medicare group
NPI 1265309405 (618) 546-2591
Indiana Anesthesia Solutions LLC
162 mi
Anesthesiology
11650 OLIO RD STE 1000-389
Fishers, IN 46037
  • Reassigned Medicare billing, Indiana enrollment
  • 25 clinicians in this Medicare group
NPI 1992411292 (317) 250-7508

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 2

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 other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
22 services22 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Kirby Medical Center

Critical Access Hospitals · Monticello, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141301
Location1000 Medical Center DriveMonticello, IL 61856 · Piatt County
Emergency services

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141343
Location1000 North Allen StreetRobinson, IL 62454 · Crawford County
Emergency services

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Terre Haute Regional Hospital

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150046
Location3901 S Seventh StTerre Haute, IN 47802 · Vigo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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.

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.

Reported Quality Measures

Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%421 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CULLEN WHICKER CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2575
MR. JASON GRAUER APRN
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121
DR. JEFFREY MARC BOORSTEIN MD
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2300
PAUL GURLEY PA-C
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-3000
CHRISTINE W CUTLER MS RD LD/N
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2281
JACLYN NICOLE KLEMAN
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2600
BRITTNEY L JEFFERY CRNA
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-2275
DR. DAVID JOSEPH EVELTI MD
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526
Macon County (217) 876-8121

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 Leeann Petak's NPI number?

The NPI number for Leeann Petak is 1912159740. It was assigned to this individual provider in the NPPES registry on October 10, 2008.

Where is Leeann Petak located?

Leeann Petak practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-8121.

What is Leeann Petak's specialty?

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

Is Leeann Petak enrolled in Medicare?

Yes. Leeann Petak 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 Leeann Petak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leeann Petak reassigns Medicare benefits to 6 organizations: North American Partners In Anesthesia (illinois), LLC (Springfield, IL), Carle Health Medical Group (Urbana, IL), Sarah Bush Lincoln Health Center (Mattoon, IL), St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third (Effingham, IL), Crawford Hospital District (Newton, IL) and 1 more organization, listed in the Medicare section above. 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 Leeann Petak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Leeann Petak accept?

Health plans from CareSource list Leeann Petak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leeann Petak affiliated with any hospitals?

According to CMS data, Leeann Petak is affiliated with Kirby Medical Center, Crawford Memorial Hospital, Union Hospital Inc and Terre Haute Regional Hospital.

When was this NPI record last updated?

The NPPES record for Leeann Petak was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.