Individual provider Active NPI

Jennifer Schroeder, CRNA

  • Certified Registered Nurse Anesthetist
  • Mokena, IL
National Provider Identifier
1275582967
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
051625 Issued in IL
Practice address
196267 S. Lagrange Rd
Mokena, IL 60448
Phone
(773) 860-5202
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28149162A IN
Certified Registered Nurse Anesthetist 367500000X 051625 IL Primary

Addresses

Primary practice location

196267 S. Lagrange Rd
Mokena, IL 60448

Mailing address

PO Box 353
Crescent City, IL 60928-0353
Phone (773) 860-5202

Other practice location 1

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

Other names 1

  • Jennifer Fegan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070418000501 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789789892 Reassigns benefits to 10 organizations
I20111213000325 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789789892 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
28149162AINMDSpecialist
051625ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 28, 2022 Accepting new patients
Pinckneyville Community Hospital CurrentSince Dec 1, 2025 Accepting new patients
Marshall Browning Hospital Association CurrentSince Apr 22, 2024 Accepting new patients
Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Pinckneyville Community Hospital CurrentSince Jan 3, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Anesthesia Associates of Southern Illinois Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2022 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Feb 15, 2017 Accepting new patients
Marion Anesthesia Company LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 18, 2022 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2022 Accepting new patients
Marshall Browning Hospital Association CurrentSince Apr 22, 2024 Accepting new patients
Memorial Hospital CurrentSince Oct 1, 2022 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2022 Accepting new patients
Marion Healthcare LLC CurrentSince Oct 18, 2022 Accepting new patients
American Anesthesiology Associates of Illinois, S.C. Specialist CurrentSince Jul 31, 2014 Accepting new patients
Madison Avenue Anesthesia Placement Services Past Accepting new patients
Southwest Anesthesia Consultants, LLC Specialist Past Accepting new patients
Pinckneyville Community Hospital Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

1900 State St
Chester, IL 62233
Phone (618) 826-2388

900 N Washington St
Du Quoin, IL 62832
Phone (618) 542-1050

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

3003 Civic Circle Blvd
Marion, IL 62959
Phone (618) 993-1112

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

1260 E State Road 205
Columbia City, IN 46725
Phone (260) 248-9000

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

9 Northeastern Blvd
Ste 400
Salem, NH 03079

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Interoperability endpoints

  • Direct secure messaging: jschroeder930951@direct.unitypoint.org

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1275582967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 353",
            "city": "CRESCENT CITY",
            "state": "IL",
            "postal_code": "609280353",
            "telephone_number": "773-860-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196267 S. LAGRANGE RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "60448",
            "telephone_number": "773-860-5202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Maple Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522028",
            "country_code": "US",
            "telephone_number": "618-498-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JENNIFER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "28149162A",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "051625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FEGAN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.