Active NPI
Amanda M Berger, CRNA
- Certified Registered Nurse Anesthetist
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.011212
- Practice address
- 350 N Wall St
Dept of Anesthesia
Kankakee, IL 60901-2901 - Phone
- (815) 933-1671
- NPI assigned
- Jan 28, 2014
- Last updated
- Feb 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 209.011212 | IL | Primary |
| Registered Nurse | 163W00000X | 041.368295 | IL |
Addresses
Primary practice location
350 N Wall St
Dept of Anesthesia
Kankakee, IL 60901-2901
Mailing address
1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251
Other practice location 1
1120 N Melvin St
Gibson City, IL 60936-1477
Phone (217) 784-4251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 93260 | Other | IL | AANA |
Other names 1
- Amanda M Elliott
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
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
350 N Wall St
Kankakee, IL 60901-2901
Phone (855) 369-7546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.368295 | IL | MD | Registered Nurse |
| 209.011212 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Current | Accepting new patients | |
| Novus Illinois Service Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Premier Anesthesia of Illinois Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| American Anesthesiology Associates of Illinois, S.C. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1932089778
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1295491744
Nurse Anesthetist, Certified Registered
-
dba Gibson City Clinic
- Rural Health Clinic/Center
- Gibson City, IL
- NPI 1841390747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1750704797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N MELVIN ST",
"city": "GIBSON CITY",
"state": "IL",
"postal_code": "609361477",
"telephone_number": "217-784-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 N WALL ST",
"address_2": "DEPT OF ANESTHESIA",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012901",
"telephone_number": "815-933-1671"
}
],
"practiceLocations": [
{
"address_1": "1120 N Melvin St",
"address_purpose": "LOCATION",
"city": "Gibson City",
"state": "IL",
"postal_code": "609361477",
"country_code": "US",
"telephone_number": "217-784-4251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGER",
"first_name": "AMANDA",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.011212",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.368295",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANA",
"identifier": "93260",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "ELLIOTT",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.