Individual provider Active NPI

Christa Dawn Ede, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Libertyville, IL
National Provider Identifier
1245812494
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209-023677 Issued in IL
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

Updated by the provider on Aug 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
I20211204000293 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800286923 Reassigns benefits to 4 organizations

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
Gip Anesthesia Services PLLCGroup PAC ID 4688043177, 7 clinicians

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

LicenseStateTypeSpecialty
041411233ILMDRegistered Nurse
209-023677ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gip Anesthesia Services PLLC CurrentSince May 6, 2023 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Aug 31, 2021 Accepting new patients
Town Square Anesthesia LLC CurrentSince Sep 1, 2021 Accepting new patients
Huntley Anesthesia Associates LLC CurrentSince Sep 1, 2021 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.

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.

Verify at the official NPI Registry.