Active NPI
Nathaniel A Puent, APN-CRNA
- Certified Registered Nurse Anesthetist
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209030923
- Practice address
- 2650 Ridge Ave.
Department of Anesthesia
Evanston, IL 60201-1718 - Phone
- (847) 570-2760
- Fax
- (847) 570-2921
- NPI assigned
- Oct 29, 2024
- Sex
- Male
- 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 | 209030923 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave.
Department of Anesthesia
Evanston, IL 60201-1718
Mailing address
904 Golfview Dr
Eureka, IL 61530-9548
Other practice location 1
5145 N. California Ave.
Department of Anesthesia
Chicago, IL 60625-3661
Phone (773) 293-5486
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Oak Ave
Evanston, IL 60201-4205
Phone (847) 869-1300
2100 Pfingsten Rd
Glenview, IL 60026-1301
2650 Ridge Ave
Evanston, IL 60201-1700
777 Park Ave W
Highland Park, IL 60035-2433
9600 Gross Point Rd
Skokie, IL 60076-1214
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1225850381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 GOLFVIEW DR",
"city": "EUREKA",
"state": "IL",
"postal_code": "615309548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE.",
"address_2": "DEPARTMENT OF ANESTHESIA",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2760",
"fax_number": "847-570-2921"
}
],
"practiceLocations": [
{
"address_1": "5145 N. California Ave.",
"address_2": "Department of Anesthesia",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606253661",
"country_code": "US",
"telephone_number": "773-293-5486",
"fax_number": "773-989-1639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUENT",
"first_name": "NATHANIEL",
"middle_name": "A",
"credential": "APN-CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-29",
"last_updated": "2024-11-05",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209030923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.