Active NPI
Hilary Wagner, CRNA, MSN
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209011234
- Practice address
- 251 E. Huron
Feinberg 5‑704
Chicago, IL 60611-2908 - Phone
- (312) 695-4146
- NPI assigned
- Feb 10, 2014
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041416829 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209011234 | IL | Primary |
Addresses
Primary practice location
251 E. Huron
Feinberg 5‑704
Chicago, IL 60611-2908
Mailing address
3190 Camden Dr
Troy, MI 48084-7022
Phone (248) 252-4704
Other practice location 1
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-7000
Other practice location 2
875 South Route 31
Crystal Lake, IL 60014
Phone (774) 220-5500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21120 Washington Pkwy
Frankfort, IL 60423-3112
Phone (815) 469-9750
331 W Surf St
Chicago, IL 60657-7227
Phone (615) 656-8129
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000
875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500
Hospital & facility affiliations
- Mercyhealth Hospital & Physician Clinic-Crystal la
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041416829 | IL | MD | Registered Nurse |
| 209011234 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rockford Health Physicians | Current | Accepting new patients | |
| Wynn Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Insight Chicago, Inc. | Current | Accepting new patients |
Locations (25 of 28)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
700 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 851-5300
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
1845 W Army Trail Rd
Addison, IL 60101
Phone (630) 458-8855
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
331 W Surf St
Ste 5800
Chicago, IL 60657
Phone (312) 896-7700
875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
901 Grant St
Harvard, IL 60033
Phone (815) 943-5431
348 S Division St
Harvard, IL 60033
Phone (815) 943-1122
1541 Riverboat Center Dr
Joliet, IL 60431
Phone (815) 409-4700
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1679339931
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1881261006
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1154308518
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crystal Lake, IL
- NPI 1023754371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1093139131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3190 CAMDEN DR",
"city": "TROY",
"state": "MI",
"postal_code": "480847022",
"telephone_number": "248-252-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E. HURON",
"address_2": "FEINBERG 5‑704",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-695-4146"
}
],
"practiceLocations": [
{
"address_1": "8201 E Riverside Blvd",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611142300",
"country_code": "US",
"telephone_number": "815-971-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "875 South Route 31",
"address_purpose": "LOCATION",
"city": "Crystal Lake",
"state": "IL",
"postal_code": "60014",
"country_code": "US",
"telephone_number": "774-220-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAGNER",
"first_name": "HILARY",
"credential": "CRNA, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-10",
"last_updated": "2024-03-11",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041416829",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209011234",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "700 Lawrence Express Way",
"city": "Santa Clara",
"state": "CA",
"country_code": "US",
"postal_code": "95051",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.