Active NPI
David Velasco, CRNA
- Certified Registered Nurse Anesthetist
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209020777
- Practice address
- 1201 S Main St
Crown Point, IN 46307-8481 - Phone
- (219) 757-6390
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28227148A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 209020777 | IL | Primary |
Addresses
Primary practice location
1201 S Main St
Crown Point, IN 46307-8481
Mailing address
1302 Franklin Ave
Normal, IL 61761-3551
Other practice location 1
1302 Franklin Ave
Normal, IL 61761-3551
Phone (309) 268-5867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 N Oak St
Hinsdale, IL 60521-3829
Phone (630) 856-9000
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
5101 Willow Springs Rd
La Grange, IL 60525-2600
Phone (708) 352-1200
600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209020777 | IL | MD | Certified Registered Nurse Anesthetist |
| 28227148A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Redreef Anesthesia Associates Chartered Indiana LLC | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Rockford Anesthesiologists Associated, L.L.C. | Current | Accepting new patients | |
| Roseland Community Hospital Association | Current | Accepting new patients | |
| Rockford Anesthesiologists Associated, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Roseland Community Hospital Association | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
7937 S Harlem Ave
Burbank, IL 60459
45 W 111th St
Chicago, IL 60628
Phone (773) 995-3000
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503
1302 Franklin Ave
Normal, IL 61761
Phone (309) 268-5867
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
1016 Featherstone Rd
Rockford, IL 61107
Phone (815) 226-3300
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
12750 Saint Francis Dr
Crown Point, IN 46307
Phone (219) 738-2100
11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
6913 N Main St
Granger, IN 46530
Phone (574) 647-1500
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
Interoperability endpoints
- dvelascocrna407700@carlehiedirect.net
Organizations & group practices 17
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.
-
- Anesthesiology Physician
- Gary, IN
- NPI 1215783766
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Clinic/Center
- Normal, IL
- NPI 1104442615
-
- Anesthesiology Physician
- Irving, TX
- NPI 1629475421
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Loves Park, IL
- NPI 1629090642
Nurse Anesthetist, Certified Registered
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1306029889
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hinsdale, IL
- NPI 1265465439
-
- Psychiatric Hospital Unit
- Hinsdale, IL
- NPI 1447270780
-
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1609360965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 FRANKLIN AVE",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078481",
"telephone_number": "219-757-6390"
}
],
"practiceLocations": [
{
"address_1": "1302 Franklin Ave",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "617613551",
"country_code": "US",
"telephone_number": "309-268-5867",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELASCO",
"first_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28227148A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209020777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.