Individual provider Active NPI

Allison Smith

  • Certified Registered Nurse Anesthetist
  • Dekalb, IL
National Provider Identifier
1346878451
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209020959 Issued in IL
Practice address
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone
(815) 756-1521
NPI assigned
Apr 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209020959 IL Primary

Addresses

Primary practice location

1 Kish Hospital Dr
Dekalb, IL 60115-9602

Mailing address

1128 S Scoville Ave
Oak Park, IL 60304-2130
Phone (708) 382-1413

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201228001852 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385057900 Reassigns benefits to 6 organizations
I20260313003662 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4385057900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Anesthesia Providers LTDGroup PAC ID 6709249006, 26 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

19110 Darvin Dr
Suite a
Mokena, IL 60448-8683
Phone (708) 478-8889

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

9200 Calumet Ave
Suite N300
Munster, IN 46321-5811
Phone (708) 275-7799

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020959ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Elmhurst Anesthesiologists, PC CurrentSince Oct 1, 2021 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Aug 13, 2021 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 13, 2022 Accepting new patients
Anesthesia Associates, LTD CurrentSince Sep 1, 2020 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2023 Accepting new patients
University Anesthesiologists SC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

1200 S York St
Elmhurst, IL 60126
Phone (331) 221-5678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

19110 Darvin Dr
Mokena, IL 60448
Phone (708) 478-8889

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

3 N Washington St
Naperville, IL 60540
Phone (630) 357-6540

100 5th St
Oswego, IL 60543
Phone (630) 449-0085

10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200

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

18200 La Grange Rd
Tinley Park, IL 60487
Phone (708) 570-2490

9200 Calumet Ave
Ste N300
Munster, IN 46321
Phone (219) 273-2570

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1346878451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 S SCOVILLE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603042130",
            "telephone_number": "708-382-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KISH HOSPITAL DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "815-756-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALLISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209020959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.