Active NPI
Decelle Jewel Manuel Enriquez, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209021466
- Practice address
- 251 E Huron St Ste F5-704
Chicago, IL 60611-2908 - Phone
- (608) 322-4951
- NPI assigned
- Mar 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209021466 | IL | Primary |
Addresses
Primary practice location
251 E Huron St Ste F5-704
Chicago, IL 60611-2908
Mailing address
251 E Huron St Ste 5-704
Chicago, IL 60611-2908
Phone (312) 695-0061
Other practice location 1
3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 766-4949
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | denriquez116349@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 W Harrison St
Chicago, IL 60607-3106
Phone (888) 352-7874
250 E Superior
2304 Nwmff Prent WMN Hosp
Chicago, IL 60611-2914
Phone (312) 472-3660
250 E Superior St
Chicago, IL 60611-2914
251 E Huron
Chicago, IL 60611-2908
251 E Huron St
Chicago, IL 60611-2908
259 E Erie St
Chicago, IL 60611-2930
Phone (312) 503-1944
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Northwestern Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021466 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harbor Anesthesia PLLC | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Apollo Medical Group of Illinois LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
Dept 5777
Carol Stream, IL 60122
331 W Surf St
Ste 506
Chicago, IL 60657
Phone (312) 682-6424
3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949
1520 W Harrison St
Chicago, IL 60607
Phone (312) 226-2371
29373 Network Pl
Chicago, IL 60673
251 E Huron St
Ste F5704
Chicago, IL 60611
Phone (608) 322-4951
251 E Huron St
Ste 5704
Chicago, IL 60611
Phone (312) 695-0061
3034 W Peterson Ave
Chicago, IL 60659
Phone (773) 973-7432
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1730934597
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1205593290
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497859649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1194352286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 E HURON ST STE 5-704",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "312-695-0061",
"fax_number": "312-695-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST STE F5-704",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112908",
"telephone_number": "608-322-4951"
}
],
"practiceLocations": [
{
"address_1": "3134 N Clark St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606574414",
"country_code": "US",
"telephone_number": "773-766-4949",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENRIQUEZ",
"first_name": "DECELLE JEWEL",
"middle_name": "MANUEL",
"name_prefix": "Ms.",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209021466",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "denriquez116349@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3134 N Clark St",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606574414",
"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 Dec 21, 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.