Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Luciano, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1609546498

Jaclyn Luciano, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mattoon, Illinois. Qualified in 2021, 5 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group and accepts Medicare assignment. Licensed in Illinois, Tennessee and Wisconsin.

Years since qualifying
5
Licensed in
IL, TN, WI
In the registry since
2021
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone: (217) 258-2440
Fax: (217) 258-2186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209-027772 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 11697-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence RN0000206203 (TN)

Record details

NPI number1609546498
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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