Active NPI
Darryl J. Phipps, CRNA
- Certified Registered Nurse Anesthetist
- Loves Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209003942
- Practice address
- 2202 Harlem Road
Loves Park, IL 61111-2754 - Phone
- (815) 877-4848
- Fax
- (815) 654-5342
- NPI assigned
- May 4, 2006
- 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 | 209003942 | IL | Primary |
| Registered Nurse | 163W00000X | 041301998 | IL |
Addresses
Primary practice location
2202 Harlem Road
Loves Park, IL 61111-2754
Mailing address
2202 Harlem Road
Loves Park, IL 61111-2754
Phone (815) 877-4848
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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1016 Featherstone Rd
Rockford, IL 61107-5902
Phone (815) 226-3300
1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400
Hospital & facility affiliations
- Uw Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041301998 | IL | MD | Registered Nurse |
| 209003942 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Anesthesiologists Associated, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates, LTD | Current | Accepting new patients | |
| Rockford Anesthesiologists Associated, L.L.C. | Current | Accepting new patients | |
| Atp Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Guardian Anesthesia Associates, S.C | Past | Accepting new patients |
Locations
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
2202 Harlem Rd
Loves Park, IL 61111
Phone (815) 877-4848
2202 Harlem Rd
#200
Loves Park, IL 61111
Phone (815) 877-4848
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
1016 Featherstone Rd
Rockford, IL 61107
Phone (815) 226-3300
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Loves Park, IL
- NPI 1629090642
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- Anesthesiology Physician
- Loves Park, IL
- NPI 1639128598
-
- Anesthesiology Physician
- Aurora, IL
- NPI 1982620449
Nurse Anesthetist, Certified Registered
-
- Interventional Pain Medicine Physician
- Aurora, IL
- NPI 1326097221
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1720036882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 HARLEM ROAD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-654-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 HARLEM ROAD",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-654-5342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS",
"first_name": "DARRYL",
"middle_name": "J.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209003942",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041301998",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.