Individual provider Active NPI

Kelly C. Lannert, APN-CRNA

  • Certified Registered Nurse Anesthetist
  • Evanston, IL
National Provider Identifier
1649789082
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.016942 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1700
Phone
(847) 570-2760
NPI assigned
Sep 28, 2017
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 041.390796 IL
Certified Registered Nurse Anesthetist 367500000X 209.016942 IL Primary

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Mailing address

2650 Ridge Ave
Evanston, IL 60201-1700
Phone (847) 570-2760

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address klannert99592@direct.luhs.org Direct LOYOLA UNIVERSITY MEDICAL CENTER
FHIR URL https://rxhub.luhs.org/fhir/api/FHIR/DSTU2/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180418001679 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799048013 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesiologists SCGroup PAC ID 4183512080, 152 clinicians
Ias Illinois PCGroup PAC ID 9638530991, 79 clinicians
Arete Anesthesia LLCGroup PAC ID 6709161961, 11 clinicians
Gottlieb Midwest Anesthesiologists, LLCGroup PAC ID 8123929940, 42 clinicians

Practice addresses (Care Compare)

2011 York Rd
Suite 3000
Oak Brook, IL 60523-2156
Phone (630) 472-2445

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (630) 584-1400

2750 S River Rd
Des Plaines, IL 60018-4103
Phone (847) 470-8740

530 N Cass Ave
Westmont, IL 60559-1503
Phone (630) 968-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.390796ILMDCritical Care Medicine Registered Nurse
209.016942ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gottlieb Midwest Anesthesiologists, LLC CurrentSince Sep 1, 2021 Accepting new patients
University Anesthesiologists SC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Valley Ambulatory Surgery Center, LP Current Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Nov 28, 2020 Accepting new patients
Ias Illinois PC CurrentSince Nov 1, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 4, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Midwest Anesthesiologists, LTD. CurrentSince Mar 3, 2018 Accepting new patients
Endeavor Health Medical Group Current Accepting new patients
Valley Ambulatory Surgery Center Anesthesiology LTD CurrentSince Dec 19, 2018 Accepting new patients
Arete Anesthesia LLC CurrentSince Nov 6, 2023 Accepting new patients

Locations

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1653 W Congress Pkwy
#739
Chicago, IL 60612
Phone (312) 942-3138

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

3407 Momentum Pl
Chicago, IL 60689

845 N Michigan Ave
Ste 985W
Chicago, IL 60611
Phone (312) 521-5500

9145 Collection Ctr Dr
Chicago, IL 60693

9532 Eagle Way
Chicago, IL 60678

2750 S River Rd
Des Plaines, IL 60018
Phone (708) 273-3052

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

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

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073

2160 S 1st Ave
Maywood, IL 60153
Phone (708) 216-4400

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

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

2011 York Rd
Ste 3000
Oak Brook, IL 60523
Phone (414) 732-2577

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

22 S Washington Ave
Park Ridge, IL 60068
Phone (847) 268-3910

9600 Gross Point Rd
Skokie, IL 60076
Phone (847) 677-9600

2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397

530 N Cass Ave
Westmont, IL 60559
Phone (630) 918-1800

Organizations & group practices 11

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.

Hospital & facility affiliations 2

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": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1649789082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNERT",
        "first_name": "KELLY",
        "middle_name": "C.",
        "credential": "APN-CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041.390796",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.016942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klannert99592@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://rxhub.luhs.org/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.