Individual provider Active NPI

Amber D Golebiewski, CRNA

  • Certified Registered Nurse Anesthetist
  • Evanston, IL
National Provider Identifier
1881028231
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209-010618 Issued in IL
Practice address
355 Ridge Ave
Evanston, IL 60202-3328
Phone
(847) 316-4000
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209-010618 IL Primary
Certified Registered Nurse Anesthetist 367500000X 041391349 IL

Addresses

Primary practice location

355 Ridge Ave
Evanston, IL 60202-3328

Mailing address

PO Box 570
Lake Forest, IL 60045-0570
Phone (847) 615-2200

Other practice location 1

3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 766-4949

Other identifiers 2

IdentifierTypeStateIssuer
041391349OtherILSTATE LICENSE
93117OtherILNBCRNA CERTIFICATION

Other names 1

  • Amber M Detwiller Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address agolebiewski393440@direct.myadvocateaurora.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130923000048 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7517101108 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians
Wynn Anesthesia Group, LLCGroup PAC ID 2961944616, 9 clinicians
Catalyst Anesthesia Group LLCGroup PAC ID 1658525753, 6 clinicians

Practice addresses (Care Compare)

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020

2650 Ridge Ave
Evanston, IL 60201-1700

3134 N Clark St
Chicago, IL 60657-4414
Phone (773) 296-5420

331 W Surf St
Chicago, IL 60657-7227
Phone (615) 656-8129

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 525-6780

Hospital & facility affiliations

  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Thorek Memorial Hospital Hospital, Chicago, IL, CCN 140115
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-010618ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jan 12, 2018 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Wynn Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 29, 2024 Accepting new patients
Catalyst Anesthesia Group, LLC CurrentSince Oct 28, 2017 Accepting new patients
Windy City Anesthesia PC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2024 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Mar 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 13, 2023 Accepting new patients
Quantum Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 6, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2016 Accepting new patients
Endeavor Health Medical Group CurrentSince Nov 13, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients

Locations

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

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

5440 N Cumberland Ave
Ste 105
Chicago, IL 60656
Phone (773) 763-3990

9532 Eagle Way
Chicago, IL 60678

331 W Surf St
Ste 5800
Chicago, IL 60657
Phone (312) 896-7700

3134 N Clark St
Chicago, IL 60657
Phone (312) 766-4949

26413 Network Pl
Chicago, IL 60673

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

2333 N Harlem Ave
Chicago, IL 60707
Phone (773) 637-1700

29373 Network Pl
Chicago, IL 60673

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750

114 W Rockland Rd
Libertyville, IL 60048
Phone (773) 267-0554

20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857

10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600

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

Interoperability endpoints

  • Direct secure messaging: agolebiewski393440@direct.myadvocateaurora.org

Organizations & group practices 12

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.

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1881028231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 570",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450570",
            "telephone_number": "847-615-2200",
            "fax_number": "847-615-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023328",
            "telephone_number": "847-316-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3134 N Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574414",
            "country_code": "US",
            "telephone_number": "773-766-4949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLEBIEWSKI",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209-010618",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041391349",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "041391349",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCRNA CERTIFICATION",
            "identifier": "93117",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3134 N Clark St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agolebiewski393440@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3134 N Clark St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606574414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DETWILLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.