Active NPI
Kristen Berger, CRNA
- Certified Registered Nurse Anesthetist
- Grant Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209015549
- Practice address
- 8946 N 12000E Rd
Grant Park, IL 60940-5092 - Phone
- (708) 519-0581
- NPI assigned
- Jan 10, 2017
- Last updated
- Oct 2, 2023
- 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 | 209015549 | IL | Primary |
Addresses
Primary practice location
8946 N 12000E Rd
Grant Park, IL 60940-5092
Mailing address
8946 N 12000E Rd
Grant Park, IL 60940
Phone (708) 519-0581
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
- Rush Medical College of Rush University, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133
350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671
500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2490
645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015549 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novus Illinois Service Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Premier Anesthesia of Illinois Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Associates of Illinois, S.C. | Current | Accepting new patients |
Locations
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1295491744
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1932089778
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1235675620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8946 N 12000E RD",
"city": "GRANT PARK",
"state": "IL",
"postal_code": "60940",
"telephone_number": "708-519-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8946 N 12000E RD",
"city": "GRANT PARK",
"state": "IL",
"postal_code": "609405092",
"telephone_number": "708-519-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "KRISTEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-10",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209015549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grant Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.