✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered (367500000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

THERESE A BUGAJ, APN-CRNA (NPI #1770580946)

Nurse Anesthetist, Certified Registered • LANSING, IL • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1770580946
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
18221 TORRENCE AVE, SUITE 1-D, LANSING, IL, 60438-2870
✓ 9-Digit EDI 837 ZIP+4 (60438-2870)
Practice Phone & Referral Fax
Fax: (847) 895-9455
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1770580946 (THERESE A BUGAJ, APN-CRNA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1770580946 (NPI-1 Individual Practitioner)
Provider / Legal NameTHERESE A BUGAJ, APN-CRNA
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address18221 TORRENCE AVE, SUITE 1-D, LANSING, IL, 60438-2870
Practice Telephone / FaxTel: (708) 895-9450 | Fax: (847) 895-9455
Administrative Mailing Address1174 OAK KNOLL DR, LAKE FOREST, IL, 60045-3648
Enumeration & Last SyncEnumerated: 2005-07-04 | CMS Record Updated: 2024-11-01

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

18221 TORRENCE AVE, SUITE 1-D, LANSING, IL, 60438-2870

🗺️ Open in Google Maps 🏥 More Providers in LANSING

Plain-English Taxonomy & CMS Crosswalk (367500000X)

What Does Taxonomy Code 367500000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 43 (Certified Registered Nurse Anesthetist (CRNA))
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Anesthetist, Certified Registered for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (THERESE A BUGAJ, APN-CRNA)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
163W00000X — Registered Nurse
Plain English: Licensed & Credentialed Registered Nurse
State: IL | License: 041-144120 | Primary: Secondary
367500000X — Nurse Anesthetist, Certified Registered
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
State: IL | License: 209000530 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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