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

MS. Leeann Petak, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1912159740

MS. Leeann Petak, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Decatur, Illinois. Qualified in 2008, 18 years ago. Practices with Crawford Hospital District, a 73-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2008
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

2300 N Edward St
Decatur, IL 62526-4163
Phone: (217) 876-8121
Fax: (217) 876-2261
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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 209.007167 (IL)

Record details

NPI number1912159740
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 10, 2008
Last updated in NPPESJanuary 27, 2023
Certification dateJanuary 27, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Crawford Hospital District — 73 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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