Individual provider Active NPI

Jeremy Lenich, CRNA

  • Certified Registered Nurse Anesthetist
  • Plainfield, IL
National Provider Identifier
1386363810
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209030028 Issued in IL
Practice address
14738 S Penn Rd
Plainfield, IL 60544-2828
Phone
(312) 765-3380
NPI assigned
Aug 26, 2022
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209030028 IL Primary
Registered Nurse 163W00000X 041437215 IL

Addresses

Primary practice location

14738 S Penn Rd
Plainfield, IL 60544-2828

Mailing address

14738 S Penn Rd
Plainfield, IL 60544-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240730002160 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628515483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
R Franklin University of Med & Sci/Chicago Medical School, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Arete Anesthesia LLCGroup PAC ID 6709161961, 11 clinicians
Premier Anesthesia of Illinois Professional CorporationGroup PAC ID 1254826175, 42 clinicians
Novus Illinois Service CorporationGroup PAC ID 6901293786, 28 clinicians

Practice addresses (Care Compare)

2750 S River Rd
Des Plaines, IL 60018-4103
Phone (847) 470-8740

350 N Wall St
Kankakee, IL 60901-2901
Phone (855) 369-7546

645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 626-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209030028ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Novus Illinois Service Corporation Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2024 Accepting new patients
Arete Anesthesia LLC CurrentSince Jul 15, 2024 Accepting new patients
Premier Anesthesia of Illinois Professional Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2025 Accepting new patients

Locations

2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804

300 Riverside Dr
Ste 1100
Bourbonnais, IL 60914
Phone (815) 802-3170

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

2750 S River Rd
Des Plaines, IL 60018
Phone (708) 273-3052

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1386363810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14738 S PENN RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14738 S PENN RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442828",
            "telephone_number": "312-765-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENICH",
        "first_name": "JEREMY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-26",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209030028",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041437215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.