Active NPI
Mary J Andreani, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Palos Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209007488
- Practice address
- 12251 S 80TH Ave
Palos Heights, IL 60463-1290 - Phone
- (708) 923-4000
- Fax
- (708) 923-8848
- NPI assigned
- Feb 20, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209007488 | IL | Primary |
Addresses
Primary practice location
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Mailing address
12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone (708) 923-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090319000124 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8921165960 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
12251 S 80TH Ave
Palos Heights, IL 60463-1290
675 N Saint Clair St
Chicago, IL 60611-5975
675 N St Clair
Chicago, IL 60611-5975
Hospital & facility affiliations
- Palos Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.19 of 100
- Quality
- 83.05
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Granite City Physicians Corp | Past | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
1740 W Taylor St
#3200
Chicago, IL 60612
Phone (312) 996-4021
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500
Organizations & group practices 21
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.
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
IL
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Durable Medical Equipment & Medical Supplies
- Evanston, IL
- NPI 1124733019
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1275759789
-
- Durable Medical Equipment & Medical Supplies
- Glenview, IL
- NPI 1316590409
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1376961524
-
- Eyewear Supplier
- Evanston, IL
- NPI 1427741909
-
- Durable Medical Equipment & Medical Supplies
- Lake Forest, IL
- NPI 1467005520
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1497308340
-
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
- NPI 1497516454
-
- Optometrist
- Chicago, IL
- NPI 1588063572
Hospital & facility affiliations 2
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": "1235088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1366682007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4000",
"fax_number": "708-923-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12251 S 80TH AVE",
"city": "PALOS HEIGHTS",
"state": "IL",
"postal_code": "604631290",
"telephone_number": "708-923-4000",
"fax_number": "708-923-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREANI",
"first_name": "MARY",
"middle_name": "J",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-20",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209007488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palos Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.