Active NPI
Jeanette A. Dubay-McDermit, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209002113
- Practice address
- 680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546 - Phone
- (312) 926-2280
- NPI assigned
- Jun 13, 2005
- Last updated
- Aug 8, 2016
- 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 | 209002113 | IL | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546
Mailing address
3833 N Ravenswood Ave
Chicago, IL 60613-2735
Phone (773) 665-4625
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Austin St
Suite 403
Evanston, IL 60202-3444
Phone (847) 491-9020
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Aaoc Surgery Center Anesthesia LLC | Past | Accepting new patients | |
| Southwest Anesthesia Consultants, LLC | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
25 E Washington St
Ste 300
Chicago, IL 60602
Phone (312) 726-3329
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
800 Austin St
Ste 403
Evanston, IL 60202
Phone (847) 491-9020
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
3725 W Touhy Ave
Lincolnwood, IL 60712
Phone (847) 324-7770
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Organizations & group practices 12
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1255380184
-
dba The Endo Center of Elgin Gastroenterology
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
-
dba Northwestern Medical Group
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1699944785
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Specialist
- Olympia Fields, IL
- NPI 1750434197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1427052885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3833 N RAVENSWOOD AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132735",
"telephone_number": "773-665-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR",
"address_2": "SUITE 1000",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "312-926-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBAY-MCDERMIT",
"first_name": "JEANETTE",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209002113",
"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 Aug 8, 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.