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

Lacey Renee Anderson, CRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1669093175

Lacey Renee Anderson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Green Bay, Wisconsin. Qualified in 2020, 6 years ago. Practices with Green Bay Anesthesia Assoc SC, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
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

835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (417) 499-9141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1726 Shawano Ave, Green Bay, WI 54303-3216 — (417) 499-9141

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10419-33 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669093175
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 6, 2020
Last updated in NPPESOctober 27, 2023
Certification dateDecember 16, 2021

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Green Bay Anesthesia Assoc. Sc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay