Active NPI
Julie A Podlasik, CRNA
- Certified Registered Nurse Anesthetist
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 7402-33
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 445-7226
- Fax
- (920) 445-7289
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209006369 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 7402-33 | WI | Primary |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 445-7210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75957 | Other | NBCRNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpodlasik113247@ewd.direct.hhs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rush Medical College of Rush University, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
835 S Van Buren St
Green Bay, WI 54301-3526
Phone (920) 433-0111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209006369 | IL | MD | Certified Registered Nurse Anesthetist |
| 7402-33 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Anesthesia Associates, S.C. | Current | Accepting new patients | |
| Green Bay Anesthesia Assoc. SC | Current | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Allied Anesthesia Associates, P.C. | Past | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
Bin 88263
Milwaukee, WI 53288
Bin 88848
Milwaukee, WI 53288
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Green Bay, WI
- NPI 1023065836
-
- Pain Medicine (Anesthesiology) Physician
- Green Bay, WI
- NPI 1558318410
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1649246877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1043343155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7210",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODLASIK",
"first_name": "JULIE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209006369",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "7402-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCRNA",
"identifier": "75957",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpodlasik113247@ewd.direct.hhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "835 S Van Buren St",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543013526",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.