Active NPI
Ellen B Steckbar, CRNA
- Certified Registered Nurse Anesthetist
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209-001828
- 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
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 | 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, OR
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209-001828 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Huntley Anesthesia Associates LLC | Current | Accepting new patients | |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Central Dupage Physician Group | Current | Accepting new patients | |
| Town Square Anesthesia LLC | Past | 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.
-
- Anesthesiology Physician
- Milwaukie, OR
- NPI 1548281751
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1205282019
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Anesthesiology Physician
- Woodstock, IL
- NPI 1669471017
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- McMinnville, OR
- NPI 1346269982
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.