Individual provider Active NPI

Ellen B Steckbar, CRNA

  • Certified Registered Nurse Anesthetist
  • McHenry, IL
National Provider Identifier
1376622340
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209-001828 Issued in IL
Practice address
4309 W Medical Center Dr
Suite A201
McHenry, IL 60050-8419
Phone
(815) 385-0084
Fax
(815) 385-8968
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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 209-001828 IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr
Suite A201
McHenry, IL 60050-8419

Mailing address

4309 W Medical Center Dr
Suite A201
McHenry, IL 60050-8419
Phone (815) 385-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090323000064 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507923364 Reassigns benefits to 2 organizations
I20240104001325 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507923364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates Northwest LLCGroup PAC ID 7618908484, 80 clinicians

Practice addresses (Care Compare)

2700 SE Stratus Ave
McMinnville, OR 97128-6255
Phone (503) 472-6131

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-001828ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Huntley Anesthesia Associates LLC CurrentSince Jul 15, 2016 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Apr 14, 2024 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Town Square Anesthesia LLC PastSince Jan 26, 2022 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

4309 W Medical Center Dr
Ste A201
McHenry, IL 60050
Phone (815) 385-0084

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

3701 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

Organizations & group practices 5

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1376622340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE A201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-385-0084",
            "fax_number": "815-385-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR",
            "address_2": "SUITE A201",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508419",
            "telephone_number": "815-385-0084",
            "fax_number": "815-385-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STECKBAR",
        "first_name": "ELLEN",
        "middle_name": "B",
        "name_prefix": "Miss",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-001828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.