Active NPI
Lisa M Busenitz Jablonski, CRNA
- Certified Registered Nurse Anesthetist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041249104
- Practice address
- 8600 N State Route 91
Suite 250
Peoria, IL 61615-9506 - Phone
- (309) 692-5393
- Fax
- (309) 692-2538
- NPI assigned
- Jun 27, 2006
- Last updated
- Oct 30, 2013
- 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 | 041249104 | IL | Primary |
Addresses
Primary practice location
8600 N State Route 91
Suite 250
Peoria, IL 61615-9506
Mailing address
8600 N State Route 91
Suite 250
Peoria, IL 61615-9506
Phone (309) 692-5393
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, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Eastland Dr
Bloomington, IL 61701-3534
Phone (309) 663-1997
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
430 Maxine Dr
Morton, IL 61550-2495
Phone (309) 485-4520
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041249104 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Principle Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carle Health Medical Group | Current | Accepting new patients | |
| Spectrum Health Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Anesthesia Pain Services LLC | Current | Accepting new patients | |
| Sangamon Associated Anesthesiologists, S.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100
2200 E Washington St
Bloomington, IL 61701
Phone (309) 661-5111
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
430 Maxine Dr
Morton, IL 61550
Phone (309) 266-7600
1304 Franklin Ave
Normal, IL 61761
Phone (309) 268-3590
4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
8600 State Route 91
Ste 250
Peoria, IL 61615
Phone (309) 692-5393
800 E Carpenter St
Rm 2334
Springfield, IL 62769
Phone (217) 525-5643
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- lbusentizjablonskicrna394852@carlehiedirect.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Streator, IL
- NPI 1790075489
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1699032524
-
- Certified Registered Nurse Anesthetist
- Morton, IL
- NPI 1225792039
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Certified Registered Nurse Anesthetist
- Morton, IL
- NPI 1063128049
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1699712661
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1851328793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 N STATE ROUTE 91",
"address_2": "SUITE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159506",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 N STATE ROUTE 91",
"address_2": "SUITE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616159506",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSENITZ JABLONSKI",
"first_name": "LISA",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041249104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.