Individual provider Active NPI

Caitlyn Coburn, CRNA

  • Certified Registered Nurse Anesthetist
  • Kankakee, IL
National Provider Identifier
1891376265
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
135212 Issued in IL
Practice address
350 N Wall St
Kankakee, IL 60901-2901
Phone
(815) 933-1671
NPI assigned
Apr 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.484462 IL
Certified Registered Nurse Anesthetist 367500000X 101.0135810 VT
Certified Registered Nurse Anesthetist 367500000X 135212 IL Primary
Certified Registered Nurse Anesthetist 367500000X 070631-23 NH

Addresses

Primary practice location

350 N Wall St
Kankakee, IL 60901-2901

Mailing address

1605 E Central Rd Unit 121C
Arlington Heights, IL 60005-3339
Phone (603) 557-3895

Other practice location 1

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NH, OR, ID4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210730002951 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931502713 Reassigns benefits to 4 organizations
I20240326003505 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931502713 Reassigns benefits to 3 organizations
I20240404004141 OR Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931502713 Reassigns benefits to 2 organizations
I20250120000470 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 9931502713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
St Alphonsus Professional Medical Services LLCGroup PAC ID 7214849751, 124 clinicians
Hospitalist Medicine Physicians of Washington - TCSGroup PAC ID 6800240102, 197 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 367-2152

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-1234

Hospital & facility affiliations

  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.484462ILMDRegistered Nurse
135212ILMDCertified Registered Nurse Anesthetist
070631-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Alphonsus Professional Medical Services LLC CurrentSince Dec 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Washington - TCS Nurse Anesthetist, Certified Registered CurrentSince Mar 19, 2024 Accepting new patients
Anesthesia Associates Northwest LLC CurrentSince Apr 22, 2024 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2022 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2023 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 16, 2023 Accepting new patients
Novus Illinois Service Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Dec 1, 2024 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jun 29, 2021 Accepting new patients
Apollo Medical Group of Wentworth PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 13, 2024 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

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

6712 N Convent St
Bourbonnais, IL 60914
Phone (815) 348-9500

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

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

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

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

6 Works Way
Somersworth, NH 03878
Phone (603) 285-9273

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

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

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 8

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": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1891376265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E CENTRAL RD UNIT 121C",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053339",
            "telephone_number": "603-557-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WALL ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012901",
            "telephone_number": "815-933-1671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "fax_number": "603-640-1228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBURN",
        "first_name": "CAITLYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.484462",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VT",
            "license": "101.0135810",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "135212",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "070631-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.