Active NPI
Carol Christie, CRNA
- Certified Registered Nurse Anesthetist
- Beaver Dam, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041393
- Practice address
- 707 S University
Beaver Dam, WI 53916 - Phone
- (920) 887-7181
- Fax
- (920) 887-3422
- NPI assigned
- Nov 1, 2006
- 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 | 041393 | WI | Primary |
Addresses
Primary practice location
707 S University
Beaver Dam, WI 53916
Mailing address
707 S University
Beaver Dam, WI 53916
Phone (920) 887-7181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43335100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10401 S Roberts Rd
Suite 2
Palos Hills, IL 60465-1984
Phone (708) 430-1600
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
701 Superior Ave
Munster, IN 46321-4037
Phone (219) 922-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041393 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting 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 |
| Stoughton Hospital Association | Past | Accepting new patients |
Locations
1338 E 47th St
Chicago, IL 60653
Phone (773) 324-3338
2333 N Harlem Ave
Chicago, IL 60707
Phone (773) 637-1700
10444 S Western Ave
Ste A
Chicago, IL 60643
Phone (773) 238-1126
500 N Michigan Ave
Ste 2100
Chicago, IL 60611
Phone (312) 276-1212
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
12800 Mississippi Pkwy
Crown Point, IN 46307
Phone (219) 662-5560
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
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.
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Stoughton, WI
- NPI 1679558647
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770660227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 S UNIVERSITY",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "53916",
"telephone_number": "920-887-7181",
"fax_number": "920-887-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S UNIVERSITY",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "53916",
"telephone_number": "920-887-7181",
"fax_number": "920-887-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "CAROL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "041393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43335100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, WI
- Casitas Diagnostics Inc (beaver dam reference laboratory)
- Colleen F Cassidy, MD
- Thomas A Castillo, DO
- Micheal E Ceizyk, PT
- Lyndsey Christenson, APNP
- Church Health Services
- Church Health Services, Inc.
- Church Health Services, Inc.
- City of Beaver Dam Et Al (Beaver Dam Fire Department)
- Susan Dorsch Clark, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.