Active NPI
Blake McNamara
- Certified Registered Nurse Anesthetist
- New Lenox, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209029231
- Practice address
- 1900 Silver Cross Blvd
New Lenox, IL 60451-9509 - Phone
- (815) 300-1100
- NPI assigned
- Jan 29, 2024
- Sex
- Male
- 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 | 209029231 | IL | Primary |
Addresses
Primary practice location
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Mailing address
14714 Aster LN
Homer Glen, IL 60491-6968
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, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-1100
350 N Wall St
Kankakee, IL 60901-2901
Phone (855) 369-7546
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209029231 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Illinois Professional Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allied Anesthesia Associates, P.C. | Current | Accepting new patients |
Locations
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
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.
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- Anesthesiology Physician
- Kankakee, IL
- NPI 1932089778
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1851153449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14714 ASTER LN",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604916968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 SILVER CROSS BLVD",
"city": "NEW LENOX",
"state": "IL",
"postal_code": "604519509",
"telephone_number": "815-300-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "BLAKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209029231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Lenox, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.