Active NPI
Rachel Nicole Heise, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209021413
- Practice address
- 5145 N California Ave
Chicago, IL 60625-3661 - Phone
- (773) 293-5486
- Fax
- (773) 989-1639
- NPI assigned
- May 6, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 171244 | WI | |
| Registered Nurse | 163W00000X | 041450662 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209021413 | IL | Primary |
Addresses
Primary practice location
5145 N California Ave
Chicago, IL 60625-3661
Mailing address
3611 W Montrose Ave Unit 303
Chicago, IL 60618-1030
Phone (920) 450-5903
Other practice location 1
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 437-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2160 S 1St Ave
Maywood, IL 60153-3328
Phone (708) 216-8372
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041450662 | IL | MD | Registered Nurse |
| 171244 | WI | MD | Registered Nurse |
| 209021413 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Covenant Management Services, Inc | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| University Anesthesiologists SC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Swedish Covenant Management Services, Inc. | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients |
Locations
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
9532 Eagle Way
Chicago, IL 60678
1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134
5140 N California Ave
Ste 780
Chicago, IL 60625
Phone (773) 784-5140
845 N Michigan Ave
Ste 985W
Chicago, IL 60611
Phone (312) 521-5500
5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400
2011 York Rd
Ste 3000
Oak Brook, IL 60523
Phone (414) 732-2577
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
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.
-
- General Practice Physician
- Maywood, IL
- NPI 1336159961
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1073558136
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Community/Retail Pharmacy
- Maywood, IL
- NPI 1184789299
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1962049551
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
-
- General Acute Care Hospital
- Tinley Park, IL
- NPI 1427752013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1417578980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 W MONTROSE AVE UNIT 303",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181030",
"telephone_number": "920-450-5903"
},
{
"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": "773-293-5486",
"fax_number": "773-989-1639"
}
],
"practiceLocations": [
{
"address_1": "800 Biesterfield Rd",
"address_purpose": "LOCATION",
"city": "Elk Grove Village",
"state": "IL",
"postal_code": "600073361",
"country_code": "US",
"telephone_number": "847-437-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEISE",
"first_name": "RACHEL",
"middle_name": "NICOLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-06",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "171244",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041450662",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209021413",
"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 May 3, 2022; 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.