Active NPI
Alison Jeanne Kibilka, CRNA
- Certified Registered Nurse Anesthetist
- Peru, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209021378
- Practice address
- 925 West St
Peru, IL 61354-2757 - Phone
- (815) 780-3567
- NPI assigned
- May 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209021378 | IL | Primary |
Addresses
Primary practice location
925 West St
Peru, IL 61354-2757
Mailing address
23273 2525 East St
Princeton, IL 61356-8921
Phone (815) 878-4817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100
1401 E 12TH St
Mendota, IL 61342-9216
Phone (815) 227-5600
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Saint Elizabeth MDL Ctr
- Osf Saint Paul Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients |
Locations
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400
18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
925 West St
Peru, IL 61354
Phone (815) 223-3300
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1003437799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23273 2525 EAST ST",
"city": "PRINCETON",
"state": "IL",
"postal_code": "613568921",
"telephone_number": "815-878-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 WEST ST",
"city": "PERU",
"state": "IL",
"postal_code": "613542757",
"telephone_number": "815-780-3567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIBILKA",
"first_name": "ALISON",
"middle_name": "JEANNE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-04",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209021378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peru, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.