Active NPI
Aimee Shane, CRNA
- Certified Registered Nurse Anesthetist
- Kewanee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.008194
- Practice address
- 1051 W South St
Kewanee, IL 61443-8354 - Phone
- (309) 852-7500
- NPI assigned
- Jul 9, 2010
- 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 | 209.008194 | IL | Primary |
Addresses
Primary practice location
1051 W South St
Kewanee, IL 61443-8354
Mailing address
278 Pin Oak CT
Dahinda, IL 61428-9769
Phone (309) 339-1259
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4281
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.008194 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- ashanecrna393125@carlehiedirect.net
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Proctor Hospital
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1841502549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 PIN OAK CT",
"city": "DAHINDA",
"state": "IL",
"postal_code": "614289769",
"telephone_number": "309-339-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 W SOUTH ST",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614438354",
"telephone_number": "309-852-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANE",
"first_name": "AIMEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-09",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.008194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kewanee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.