Jennifer Vitale, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Aurora, IL
NPI 1780914465 · NPPES record last updated Jan 2, 2010
Key facts
- NPI
- 1780914465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209007942 (IL)
- Practice address
- 2540 Hanford LN
Aurora, IL 60502-6969 - Phone
- (815) 748-8993
- NPI assigned
- Jan 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Associates, LTD
Ias Illinois PC
Practice addresses (Care Compare)
1 Kish Hospital Dr
Dekalb, IL 60115-9602
100 5TH St
Oswego, IL 60543-8338
Phone (630) 449-0085
1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222
150 W High St
Morris, IL 60450-1463
Phone (815) 942-2932
Hospital & facility affiliations
- Presence Mercy Medical Center
- Valley West Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100519000928 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0345379954 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209007942 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ias Illinois PC | Current |
Accepting new patients | |
| Valley Pain Care Centers LTD | Current |
Accepting new patients | |
| Anesthesia Associates, LTD | Current |
Accepting new patients |
Locations
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400
150 W High St
Morris, IL 60450
Phone (815) 942-2129
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
1879 N Neltnor Blvd
West Chicago, IL 60185
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209007942 | IL | Yes |
Addresses
Primary practice location
2540 Hanford LN
Aurora, IL 60502-6969
Mailing address
116 Presidential Blvd
Oswego, IL 60543-9816
Other providers in Aurora, IL
- Tayvin Viratyosin
- Hipolito Virella III
- Visionworks Inc
- Vista Point Counseling LLC
- Vista View Counseling Services LLC
- Vitality Chiropractic Center LLC
- Nathanael Vitkus
- Vivirmed LLC
- Richard Vizcayno
- Tedi Vlahu
All providers in Aurora, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.