Individual provider Active NPI

Shari M Jordan, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Winfield, IL
National Provider Identifier
1053619577
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209008109 Issued in IL
Practice address
25 N Winfield Rd
Winfield, IL 60190-1379
Phone
(630) 933-6675
Fax
(630) 933-2614
NPI assigned
Mar 8, 2011
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209008109 IL Primary

Addresses

Primary practice location

25 N Winfield Rd
Winfield, IL 60190-1379

Mailing address

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6675

Other practice location 1

155 E. Brush Hill Rd.
Department of Anesthesia
Elmhurst, IL 60126-5658
Phone (331) 221-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110509000422 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537345541 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Rush Medical College of Rush University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020

2650 Ridge Ave
Evanston, IL 60201-1700

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209008109ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC CurrentSince Dec 30, 2022 Accepting new patients
New Lenox Anesthesia LLC CurrentSince May 6, 2020 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Oct 1, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2024 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Endeavor Health Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Dec 30, 2022 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jul 14, 2020 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Mar 22, 2011 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2019 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2025 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2024 Accepting new patients

Locations (25 of 29)

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

6712 N Convent St
Bourbonnais, IL 60914
Phone (815) 348-9500

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

251 E Huron St
Ste 5
Chicago, IL 60611
Phone (312) 926-2280

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

9532 Eagle Way
Chicago, IL 60678

185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

1614 N Harlem Ave
Elmwood Park, IL 60707
Phone (708) 452-5000

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 462-8470

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-0557

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

1301 Copperfield Ave
Joliet, IL 60432
Phone (815) 726-6611

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

678 Cedar Crossings Dr
New Lenox, IL 60451
Phone (708) 499-5678

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1053619577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-6675",
            "fax_number": "630-933-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-6675",
            "fax_number": "630-933-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E. Brush Hill Rd.",
            "address_2": "Department of Anesthesia",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601265658",
            "country_code": "US",
            "telephone_number": "331-221-6360",
            "fax_number": "331-221-3827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHARI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN, CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209008109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.

Verify at the official NPI Registry.