Individual provider Active NPI

Nancy S Jordan, R.N., C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1154652048
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209007985 Issued in IL
Practice address
5145 N California Ave
Northshore Medical Group
Chicago, IL 60625-3661
Phone
(773) 293-5486
NPI assigned
Jan 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 041342691 IL
Certified Registered Nurse Anesthetist 367500000X 209007985 IL Primary

Addresses

Primary practice location

5145 N California Ave
Northshore Medical Group
Chicago, IL 60625-3661

Mailing address

2449 W Foster Ave
Apt Ge
Chicago, IL 60625-7325
Phone (773) 720-5590

Other practice location 1

5841 S Maryland Ave
Chicago, IL 60637-1447
Phone (773) 702-1000

Other names 1

  • Nancy Spiewak Oberts Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150420000129 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911225164 Reassigns benefits to 5 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

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209007985ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Jul 13, 2023 Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Jul 1, 2022 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Cook County Current Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients
University Anesthesiologists SC Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Loyola University Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Cook County CurrentSince Jul 13, 2023 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 1, 2022 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021

7732 Solutions Ctr
Chicago, IL 60677

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

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

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

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 11

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 7

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": "1263686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1154652048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 W FOSTER AVE",
            "address_2": "APT GE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606257325",
            "telephone_number": "773-720-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CALIFORNIA AVE",
            "address_2": "NORTHSHORE MEDICAL GROUP",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253661",
            "telephone_number": "773-293-5486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 S Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606371447",
            "country_code": "US",
            "telephone_number": "773-702-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "NANCY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "R.N., C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-17",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041342691",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209007985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "OBERTS",
            "middle_name": "SPIEWAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jul 26, 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.

Verify at the official NPI Registry.