Individual provider Active NPI

Carri Ann Grennan, CRNA

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1396024931
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.008958 Issued in IL
Practice address
5145 N California Ave
Chicago, IL 60625-3661
Phone
(773) 878-8200
Fax
(773) 293-8804
NPI assigned
Aug 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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 209.008958 IL Primary

Addresses

Primary practice location

5145 N California Ave
Chicago, IL 60625-3661

Mailing address

2740 W Foster Ave
Ste 310
Chicago, IL 60625-3500
Phone (773) 878-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120228000742 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628236288 Reassigns benefits to 3 organizations
I20220406002575 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628236288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Valley Medical GroupGroup PAC ID 3577465368, 104 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone (626) 440-9161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.008958ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Covenant Management Services, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
Glendora Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Mar 28, 2024 Accepting new patients
Pacific Valley Medical Group CurrentSince May 1, 2022 Accepting new patients
Swedish Covenant Management Services, Inc CurrentSince Aug 1, 2016 Accepting new patients
Anesthesia Associates, LTD CurrentSince Jul 1, 2015 Accepting new patients
Amsurg Arcadia Anesthesia LP CurrentSince Nov 18, 2023 Accepting new patients
Swedish Covenant Management Services, Inc. Current Accepting new patients

Locations

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

15503 Ventura Blvd
Ste 200
Encino, CA 91436
Phone (818) 788-7288

1794 S Barranca Ave
Glendora, CA 91740
Phone (626) 858-4600

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

333 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 440-9161

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

2740 W Foster Ave
Ste 310
Chicago, IL 60625

5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140

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

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

Organizations & group practices 8

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": "1313280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1396024931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 N CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253661",
            "telephone_number": "773-878-8200",
            "fax_number": "773-293-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENNAN",
        "first_name": "CARRI",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-14",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.008958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.