Jonathan Bickmann
Individual provider Active NPI Certified Registered Nurse Anesthetist · Melrose Park, IL
NPI 1164061594 · NPPES record last updated Jan 18, 2020
Key facts
- NPI
- 1164061594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209.020735 (IL)
- Practice address
- 701 W North Ave
Melrose Park, IL 60160-1612 - Phone
- (708) 681-3200
- NPI assigned
- Jan 2, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rush Medical College of Rush University, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Munson Medical Group
Munson Medical Center
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900
Hospital & facility affiliations
- Munson Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210603001852 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9537597539 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.422187 | IL | MD | Registered Nurse |
| 209.020735 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Charlevoix Hospital | Current |
Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients | |
| Northstar Anesthesia of Michigan III PLLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Munson Medical Center | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Group | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Munson Medical Center | Current |
Accepting new patients | |
| Munson Medical Group | Current |
Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
3775 Momentum Pl
Chicago, IL 60689
2891 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
3601 W 13 Mile Rd
Royal Oak, MI 48073
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1200 Sixth St
Ste 200
Traverse City, MI 49684
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.422187 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209.020735 | IL | Yes |
Addresses
Primary practice location
701 W North Ave
Melrose Park, IL 60160-1612
Mailing address
1247 W Madison St Unit 206
Chicago, IL 60607-0800
Other providers in Melrose Park, IL
- Pamela M Berkowitz
- Nicolette Marie Bernhardt
- Bestride Transportation Inc.
- Urja Bhatt
- Christopher Andrew Biag
- Shuba Sadagopan Bindra
- Mariah Biscan
- Norman Eric Blase
- Steven A Bobbe
- Boca Dental Clinic Chicago LTD
All providers in Melrose Park, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.