Individual provider Active NPI

Deena C Schwartz, APRN, CRNA, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wonder Lake, IL
National Provider Identifier
1770792194
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277002732 Issued in IL
Practice address
7432 Hancock Dr
Wonder Lake, IL 60097-9200
Phone
(815) 307-6717
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 157587-30 WI
Certified Registered Nurse Anesthetist 367500000X 209003720 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277002732 IL Primary

Addresses

Primary practice location

7432 Hancock Dr
Wonder Lake, IL 60097-9200

Mailing address

7432 Hancock Dr
Wonder Lake, IL 60097-9200
Phone (815) 307-6717

Other practice location 1

19624 Governors Hwy
Flossmoor, IL 60422-2077
Phone (708) 798-5838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120323000469 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476713793 Reassigns benefits to 1 organization
I20250317002154 IL Practitioner - Nurse Practitioner 3476713793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Anesthesia AssociatesGroup PAC ID 9830287416, 8 clinicians

Practice addresses (Care Compare)

19624 Governors Hwy
Flossmoor, IL 60422-2077
Phone (708) 798-5838

7432 Hancock Dr
Wonder Lake, IL 60097-9200
Phone (815) 307-6717

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
157587-30WIMDRegistered Nurse
277002732ILMDPsychiatric/Mental Health Nurse Practitioner
209003720ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Dec 11, 2011 Accepting new patients
Altasano PC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

19624 Governors Hwy
Flossmoor, IL 60422
Phone (708) 752-5306

7432 Hancock Dr
Wonder Lake, IL 60097
Phone (815) 307-6717

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1770792194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7432 HANCOCK DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979200",
            "telephone_number": "815-307-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7432 HANCOCK DR",
            "city": "WONDER LAKE",
            "state": "IL",
            "postal_code": "600979200",
            "telephone_number": "815-307-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19624 Governors Hwy",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "604222077",
            "country_code": "US",
            "telephone_number": "708-798-5838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "DEENA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "APRN, CRNA, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "157587-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209003720",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277002732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wonder Lake, IL

Sources for this page

Verify at the official NPI Registry.