Individual provider Active NPI

Kelsey A Newman, CRNA

  • Certified Registered Nurse Anesthetist
  • Loves Park, IL
National Provider Identifier
1609205806
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209-011130 Issued in IL
Practice address
2202 Harlem Road
Suite 200
Loves Park, IL 61111-2754
Phone
(815) 877-4848
Fax
(815) 636-6125
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 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 041.357461 IL
Certified Registered Nurse Anesthetist 367500000X 209-011130 IL Primary

Addresses

Primary practice location

2202 Harlem Road
Suite 200
Loves Park, IL 61111-2754

Mailing address

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521

Other names 1

  • Kelsey A Budzowski, Brennen, Wiechen Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140409000933 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163653874 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 766-7334

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 433-3100

150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932

5 Kish Hospital Dr
Dekalb, IL 60115-9602

515 Valley View Dr
Suite 201
Moline, IL 61265-6175
Phone (312) 695-0870

530 Park Ave E
Princeton, IL 61356-3901

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

  • Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
  • Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Morris Hospital & Healthcare Centers Hospital, Morris, IL, CCN 140101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.357461ILMDCertified Registered Nurse Anesthetist
209-011130ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Feb 17, 2020 Accepting new patients
Ias Illinois PC CurrentSince Nov 15, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 21, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 21, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 15, 2022 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Feb 17, 2020 Accepting new patients
Deerpath Ambulatory Surgical Center, LLC Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

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

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

150 W High St
Morris, IL 60450
Phone (815) 942-2129

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

Organizations & group practices 10

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 4

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1609205806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KISH HOSPITAL DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "815-756-1521",
            "fax_number": "815-766-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 HARLEM ROAD",
            "address_2": "SUITE 200",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611112754",
            "telephone_number": "815-877-4848",
            "fax_number": "815-636-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KELSEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041.357461",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-011130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "BUDZOWSKI, BRENNEN, WIECHEN",
            "middle_name": "A",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.