Individual provider Active NPI

Scott Allsup, CRNA

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1508480153
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
128348 Issued in IL
Practice address
1337 W Early Ave Apt 1
Chicago, IL 60660-5465
Phone
(618) 670-0267
NPI assigned
May 29, 2020
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 128348 IL Primary

Addresses

Primary practice location

1337 W Early Ave Apt 1
Chicago, IL 60660-5465

Mailing address

1337 W Early Ave Apt 1
Chicago, IL 60660-5465

Other practice location 1

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200825003096 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8325465156 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Anesthesia Services LLCGroup PAC ID 7618100751, 10 clinicians
Ear Nose and Throat Family Clinic of Wisconsin SCGroup PAC ID 7911997655, 12 clinicians

Practice addresses (Care Compare)

114 W Rockland Rd
Libertyville, IL 60048-2700
Phone (847) 353-8802

1375 E Woodfield Rd
Suite 120
Schaumburg, IL 60173-5423
Phone (847) 882-5888

250 W Kensington Rd
Suite 1a
Mount Prospect, IL 60056-1291
Phone (262) 652-2887

814 E Woodfield Rd
Schaumburg, IL 60173-4714
Phone (224) 404-1724

8930 Gross Point Rd
Suite 700
Skokie, IL 60077-1864
Phone (773) 262-4110

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128348ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Ear Nose and Throat Family Clinic of Wisconsin SC CurrentSince Oct 20, 2025 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Apr 15, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

114 W Rockland Rd
Libertyville, IL 60048
Phone (773) 267-0554

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

250 W Kensington Rd
Ste 3B
Mount Prospect, IL 60056
Phone (262) 652-2887

250 W Kensington Rd
Ste 1A
Mt Prospect, IL 60056
Phone (847) 305-8600

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

1375 E Woodfield Rd
Ste 120
Schaumburg, IL 60173
Phone (847) 882-5888

6127 Green Bay Rd
Ste 100
Kenosha, WI 53142
Phone (262) 652-2887

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1508480153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 W EARLY AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 W EARLY AVE APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606605465",
            "telephone_number": "618-670-0267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 E Court St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "IL",
            "postal_code": "619442460",
            "country_code": "US",
            "telephone_number": "217-465-4141",
            "fax_number": "217-465-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLSUP",
        "first_name": "SCOTT",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "128348",
            "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 Jun 4, 2024; 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.