Individual provider Active NPI

Robert Wilkins

  • Certified Registered Nurse Anesthetist
  • Frankfort, IL
National Provider Identifier
1891308748
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209022671 Issued in IL
Practice address
481 Pleasant Hill Rd
Frankfort, IL 60423-1265
Phone
(217) 417-2849
NPI assigned
Aug 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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 209022671 IL Primary
Critical Care Medicine Registered Nurse 163WC0200X 041417419 IL

Addresses

Primary practice location

481 Pleasant Hill Rd
Frankfort, IL 60423-1265

Mailing address

481 Pleasant Hill Rd
Frankfort, IL 60423-1265
Phone (217) 417-2849

Other practice location 1

700 Pasquinelli Dr
Westmont, IL 60559-1382
Phone (630) 323-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210128002955 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799199956 Reassigns benefits to 3 organizations
I20231002000887 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799199956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Anesthesia Providers LTDGroup PAC ID 6709249006, 26 clinicians

Practice addresses (Care Compare)

19110 Darvin Dr
Suite a
Mokena, IL 60448-8683
Phone (708) 478-8889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041417419ILMDCritical Care Medicine Registered Nurse
209022671ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jan 12, 2021 Accepting new patients
Elite Anesthesia Providers, LTD Nurse Anesthetist, Certified Registered CurrentSince Jul 25, 2023 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 5, 2023 Accepting new patients
Novus Illinois Service Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients

Locations

13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784

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

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

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

19110 Darvin Dr
Ste A
Mokena, IL 60448
Phone (708) 478-8889

1003 Pawlak Pkwy
New Lenox, IL 60451
Phone (708) 226-3300

7340 W College Dr
Palos Heights, IL 60463
Phone (708) 361-3233

10330 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 237-7200

18200 La Grange Rd
Tinley Park, IL 60487
Phone (708) 570-2490

700 Pasquinelli Dr
Westmont, IL 60559
Phone (630) 323-8690

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

9200 Calumet Ave
Ste 200
Munster, IN 46321
Phone (219) 961-9621

9200 Calumet Ave
Ste N300
Munster, IN 46321
Phone (219) 273-2570

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

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.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1891308748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 PLEASANT HILL RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231265",
            "telephone_number": "217-417-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 PLEASANT HILL RD",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231265",
            "telephone_number": "217-417-2849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Pasquinelli Dr",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591382",
            "country_code": "US",
            "telephone_number": "630-323-8690",
            "fax_number": "630-323-8657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209022671",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041417419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.