Jennifer Lynn Davis, CRNA

Key facts

NPI

1275868648

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

209-007876 (IL)

Practice address

2650 Ridge Ave
Evanston, IL 60201-1718

Phone

(847) 570-2760

NPI assigned

Oct 2, 2009

Sex

Female

Sole proprietor

No

Organizations & group practices 10

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.

• Illinois Gastroenterology Group, LLC Gastroenterology Physician · Elgin, IL · NPI 1316277817
  Medicare reassignment Care Compare group NPD IL
• Advocate Health and Hospitals Corporation Multi-Specialty Clinic/Center · Oak Brook, IL · NPI 1700824455
  Medicare reassignment NPD IL
• Endeavor Health Medical Group Emergency Medicine Physician · Evanston, IL · NPI 1497701882
  Medicare reassignment NPD IL
• Midwest Anesthesia Partners, LLC Anesthesiology Physician · Chicago, IL · NPI 1255380184
  Medicare reassignment NPD IL
• Advocate Health & Hospitals Corp. Emergency Medicine Physician · Chicago, IL · NPI 1750315545
  NPD
• Advocate Health and Hospitals Corporation Children's Hospital · Oak Lawn, IL · NPI 1508315516
  NPD
• Elgin Gastroenterology Endoscopy Center LLC Ambulatory Surgical Clinic/Center · Elgin, IL · NPI 1992875454
  NPD
• Elgin Gastroenterology SC Gastroenterology Physician · Elgin, IL · NPI 1932291101
  NPD
• Northwest Gastroenterologists SC Specialist · Arlington Heights, IL · NPI 1801886221
  NPD
• Ft. Walton Beach Anesthesia Services LLC Anesthesiology Physician · Ft. Walton Beach, FL · NPI 1245443829
  NPD (past)

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advocate Condell Medical Center Mobile Mammography Clinic/Center · Gurnee, IL · NPI 1023262441
  Care Compare affiliation Hospital
• Advocate Condell Medical Center General Acute Care Hospital · Libertyville, IL · NPI 1124272547
  Care Compare affiliation Hospital
• Advocate Condell Medical Center Mobile Mammography Clinic/Center · Grayslake, IL · NPI 1770737199
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Gastroenterology Group LLC (116 clinicians)
Advocate Health and Hospitals Corporation (3,081 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advocate Condell Medical Center Hospital · Libertyville, IL · CCN 140202

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IL

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdavis292436@direct.myadvocateaurora.org

Specialties & licenses

Addresses

Other names

• Jennifer Lynn Furmanek Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 5, 2024.

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1275868648",
    "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": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011718",
            "telephone_number": "847-570-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483204",
            "country_code": "US",
            "telephone_number": "847-362-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041356249",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9347156",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-007876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdavis292436@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"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FURMANEK",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evanston, IL

• Alison Davis
• Bryanna Davis
• Gary Jack Davis, M.D.
• Jalea Davis
• Jason Thomas Davis, MA, LPC
• Kristen M Davis, DPT
• Payton Joseph Davis
• Alyssa Dayan, MD
• Salomon J Dayan, MD
• DDN Medical

All providers in Evanston, IL · Certified Registered Nurse Anesthetist in Illinois