Individual provider Active NPI

Kayla Nicole Gregory, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Dekalb, IL
National Provider Identifier
1871016014
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209016996 Issued in IL
Practice address
1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone
(815) 756-7521
NPI assigned
Jul 19, 2017
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.403602 IL
Certified Registered Nurse Anesthetist 367500000X 209016996 IL Primary

Addresses

Primary practice location

1 Kish Hospital Dr
Dekalb, IL 60115-9602

Mailing address

24617 S Goldfinch CT
Channahon, IL 60410-9767
Phone (331) 330-5011

Other practice location 1

500 W Court St
Kankakee, IL 60901-3691
Phone (877) 737-4636

Other practice location 2

350 N Wall St
Kankakee, IL 60901-2991
Phone (815) 933-1671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180104001236 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204195803 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates, LTDGroup PAC ID 2961303425, 34 clinicians
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Premiere Anesthesia Group LLCGroup PAC ID 6608187810, 17 clinicians
American Anesthesiology Associates of Illinois, S.C.Group PAC ID 3971498924, 50 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

1 Kish Hospital Dr
Dekalb, IL 60115-9602

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000

2300 N Rockton Ave
Rockford, IL 61103-3619
Phone (815) 971-2000

333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

396 Remington Blvd
Bolingbrook, IL 60440-4311

500 Remington Blvd
Bolingbrook, IL 60440-4906
Phone (630) 856-3075

500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.403602ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Partners,Inc CurrentSince Dec 1, 2024 Accepting new patients
Valley Ambulatory Surgery Center, LP Current Accepting new patients
Valley Ambulatory Surgery Center Anesthesiology LTD CurrentSince Jul 27, 2019 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince May 1, 2020 Accepting new patients
Premiere Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health Partners, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Anesthesia Associates, LTD CurrentSince Jul 10, 2019 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 9, 2025 Accepting new patients
Priority Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

1300 N Arlington Heights Rd
Itasca, IL 60143
Phone (630) 833-9621

301 Madison St
Joliet, IL 60435
Phone (815) 729-3294

301 Madison St
Ste 100
Joliet, IL 60435
Phone (815) 744-1119

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

100 5th St
Oswego, IL 60543
Phone (630) 449-0085

2300 N Rockton Ave
Rockford, IL 61103

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

2210 Dean St
St Charles, IL 60175
Phone (630) 443-3397

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1871016014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24617 S GOLDFINCH CT",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604109767",
            "telephone_number": "331-330-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KISH HOSPITAL DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159602",
            "telephone_number": "815-756-7521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Court St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013691",
            "country_code": "US",
            "telephone_number": "877-737-4636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 N Wall St",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609012991",
            "country_code": "US",
            "telephone_number": "815-933-1671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.403602",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209016996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.

Verify at the official NPI Registry.