Active NPI
Melissa Brown, CRNA
- Certified Registered Nurse Anesthetist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.012064
- Practice address
- 2233 W Division St
Chicago, IL 60622-8151 - Phone
- (312) 770-2000
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, 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
- Olympia Fields, IL
- NPI 1588771919
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northstar Anesthesia of Illinois, LLCNorthstar Anesthesia of Indiana LLC
Practice addresses (Care Compare)
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
Hospital & facility affiliations
- Franciscan Health Munster
- Franciscan Health Dyer
- Franciscan Health Olympia & Chicago Heights
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150216000718 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375868367 | Reassigns benefits to 1 organization |
| I20171129001062 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3375868367 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.012064 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
12800 Mississippi Pkwy
Crown Point, IN 46307
Phone (219) 662-5560
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.012064 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2233 W Division St
Chicago, IL 60622-8151
Mailing address
7901 W 113TH St
Palos Hills, IL 60465-2735
Phone (708) 296-8635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 27, 2014.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1700280930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 W 113TH ST",
"city": "PALOS HILLS",
"state": "IL",
"postal_code": "604652735",
"telephone_number": "708-296-8635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 W DIVISION ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606228151",
"telephone_number": "312-770-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "MELISSA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.012064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.