Individual provider Active NPI

Mandy J Rueff, APRN

  • Certified Registered Nurse Anesthetist
  • Crystal Lake, IL
National Provider Identifier
1649736174
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.018842 Issued in IL
Practice address
875 S Route 31
Crystal Lake, IL 60014-8190
Phone
(779) 220-5500
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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 209.018842 IL Primary

Addresses

Primary practice location

875 S Route 31
Crystal Lake, IL 60014-8190

Mailing address

155 E Brush Hill Rd
Elmhurst, IL 60126-5658

Other practice location 1

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190712001346 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971838947 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of South Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.018842ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
Town Square Anesthesia LLC CurrentSince Aug 31, 2019 Accepting new patients
Illinois Pain Treatment Institute, LTD CurrentSince Feb 1, 2022 Accepting new patients
Huntley Anesthesia Associates LLC CurrentSince Dec 9, 2019 Accepting new patients
Pinnacle Anesthesia, LTD CurrentSince Feb 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 24, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jul 24, 2023 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Illinois Pain Treatment Institute, LTD CurrentSince Feb 1, 2022 Accepting new patients
Central Dupage Physician Group CurrentSince Mar 1, 2020 Accepting new patients
RLT Neurologic Associates, LTD. Past Accepting new patients

Locations

600 Hart Rd
Ste 300
Barrington, IL 60010
Phone (847) 305-1227

600 Hart Rd
Ste 320
Barrington, IL 60010
Phone (847) 852-2000

Dept 5777
Carol Stream, IL 60122

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

1200 S York St
Elmhurst, IL 60126
Phone (331) 221-5678

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

10350 Haligus Rd
Huntley, IL 60142
Phone (847) 802-7150

22285 N Pepper Rd
Ste 302
Lake Barrington, IL 60010
Phone (847) 726-0774

4309 W Medical Center Dr
Ste B103
McHenry, IL 60050
Phone (815) 363-9595

4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

3703 Doty Rd
Woodstock, IL 60098
Phone (815) 334-3170

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1649736174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S ROUTE 31",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148190",
            "telephone_number": "779-220-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E Brush Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601265658",
            "country_code": "US",
            "telephone_number": "331-221-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUEFF",
        "first_name": "MANDY",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.018842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.