Active NPI
Christa Dawn Ede, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209-023677
- Practice address
- 801 S Milwaukee Ave
Libertyville, IL 60048-3204 - Phone
- (847) 362-2900
- NPI assigned
- Apr 27, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041411233 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209-023677 | IL | Primary |
Addresses
Primary practice location
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Other practice location 1
1838 S Mark Ln
Round Lake, IL 60073-4289
Phone (630) 456-0774
Other names 1
- Christa Marquardt
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cede317688@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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22285 N Pepper Rd
Suite 312
Lake Barrington, IL 60010-2541
Phone (847) 382-4410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041411233 | IL | MD | Registered Nurse |
| 209-023677 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gip Anesthesia Services PLLC | Current | Accepting new patients | |
| Midwest Anesthesia Partners, LLC | Current | Accepting new patients | |
| Town Square Anesthesia LLC | Current | Accepting new patients | |
| Huntley Anesthesia Associates LLC | Current | Accepting new patients |
Locations
129 W Rand Rd
Arlington Hts, IL 60004
Phone (847) 215-0530
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
5645 W Addison St
Chicago, IL 60634
Phone (773) 282-7000
10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150
22285 N Pepper Rd
Lake Barrington, IL 60010
Phone (224) 357-8133
22285 N Pepper Rd
Ste 312
Lake Barrington, IL 60010
Phone 84738206793336
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
1880 W Winchester Rd
Ste 104
Libertyville, IL 60048
3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Lake Barrington, IL
- NPI 1821733726
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1245812494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S MILWAUKEE AVE",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600483204",
"telephone_number": "847-362-2900"
}
],
"practiceLocations": [
{
"address_1": "1838 S Mark Ln",
"address_purpose": "LOCATION",
"city": "Round Lake",
"state": "IL",
"postal_code": "600734289",
"country_code": "US",
"telephone_number": "630-456-0774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDE",
"first_name": "CHRISTA",
"middle_name": "DAWN",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041411233",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209-023677",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cede317688@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "801 S Milwaukee Ave",
"city": "Libertyville",
"state": "IL",
"country_code": "US",
"postal_code": "600483204",
"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": "801 S Milwaukee Ave",
"city": "Libertyville",
"state": "IL",
"country_code": "US",
"postal_code": "600483204",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTA",
"last_name": "MARQUARDT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.