Active NPI
Kim Lenz, CRNA
- Certified Registered Nurse Anesthetist
- Oak Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209011149041354844
- Practice address
- 520 S Maple Ave
Oak Park, IL 60304-1022 - Phone
- (708) 383-9300
- NPI assigned
- Jan 2, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209011149041354844 | IL | Primary |
Addresses
Primary practice location
520 S Maple Ave
Oak Park, IL 60304-1022
Mailing address
203 S Sangamon St
Apt 102
Chicago, IL 60607-3030
Phone (314) 623-2316
Other names 1
- Kim Lenz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
Practice addresses (Care Compare)
1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-3138
Hospital & facility affiliations
- Rush Oak Park Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209011149041354844 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Anesthesiologists SC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1653 W Congress Pkwy
Ste 739
Chicago, IL 60612
Phone (312) 942-3134
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
520 S Maple Ave
Oak Park, IL 60304
Phone (708) 383-9300
Organizations & group practices 1
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
- Chicago, IL
- NPI 1073558136
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1659792018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S SANGAMON ST",
"address_2": "APT 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606073030",
"telephone_number": "314-623-2316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S MAPLE AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041022",
"telephone_number": "708-383-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENZ",
"first_name": "KIM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-02",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209011149041354844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "LENZ",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.