Individual provider Active NPI

Nathaniel Schwartz, CRNA

  • Certified Registered Nurse Anesthetist
  • Loves Park, IL
National Provider Identifier
1063842102
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.018719 Issued in IL
Practice address
2202 Harlem Road
Suite 200
Loves Park, IL 61111-2754
Phone
(815) 877-4848
Fax
(815) 636-6125
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 5669 WI
Registered Nurse 163W00000X 159298-030 WI
Registered Nurse 163W00000X 041.474201 IL
Certified Registered Nurse Anesthetist 367500000X 209.018719 IL Primary
Certified Registered Nurse Anesthetist 367500000X 95000522 CA

Addresses

Primary practice location

2202 Harlem Road
Suite 200
Loves Park, IL 61111-2754

Mailing address

2202 Harlem Road
Suite 200
Loves Park, IL 61111-2754
Phone (815) 877-4848

Other practice location 1

301 E 2nd St
Richland Center, WI 53581-1900
Phone (608) 647-6161

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509002441 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133401417 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Uniformed Services Uhs Fe Hebert School of Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians
Richland HospitalGroup PAC ID 7618861618, 69 clinicians

Practice addresses (Care Compare)

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5669WIMDGeneral Practice Dentistry
041.474201ILMDRegistered Nurse
159298-030WIMDRegistered Nurse
209.018719ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Apr 8, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jun 1, 2025 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Apr 8, 2025 Accepting new patients
Richland Hospital CurrentSince Jul 20, 2020 Accepting new patients
Richland Hospital CurrentSince Jul 20, 2020 Accepting new patients
Polykarpos Anesthesia LLC CurrentSince Apr 18, 2019 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

921 Sherwood Dr
Lake Bluff, IL 60044
Phone (847) 691-9080

8400 Lakeview Pkwy
Ste 800
Pleasant Prairie, WI 53158
Phone (262) 455-7548

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

301 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

Organizations & group practices 8

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.

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": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1063842102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 HARLEM ROAD",
            "address_2": "SUITE 200",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611112754",
            "telephone_number": "815-877-4848",
            "fax_number": "815-636-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 HARLEM ROAD",
            "address_2": "SUITE 200",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611112754",
            "telephone_number": "815-877-4848",
            "fax_number": "815-636-6125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535811900",
            "country_code": "US",
            "telephone_number": "608-647-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "NATHANIEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "5669",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "159298-030",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.474201",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.018719",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000522",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.