Individual provider Active NPI

Susan Joy Aardema-Coughlin, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Kankakee, IL
National Provider Identifier
1891736518
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209000752 Issued in IL
Practice address
350 N Wall St
Kankakee, IL 60901-2901
Phone
(815) 937-2375
NPI assigned
Jun 10, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041263936 IL
Certified Registered Nurse Anesthetist 367500000X 11029190 FL
Certified Registered Nurse Anesthetist 367500000X RNA253054 ME
Certified Registered Nurse Anesthetist 367500000X 209000752 IL Primary

Addresses

Primary practice location

350 N Wall St
Kankakee, IL 60901-2901

Mailing address

10921 W Saddle Dr
Monee, IL 60449-8572
Phone (815) 685-1265

Other practice location 1

35 Miles St
Damariscotta, ME 04543-4047
Phone (207) 563-4837

Other names 1

  • Susan Coughlin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060103000619 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507888633 Reassigns benefits to 5 organizations
I20240129000020 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507888633 Reassigns benefits to 1 organization
I20250911000218 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507888633 Reassigns benefits to 3 organizations

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
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Phone (954) 939-5000

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 885-9905

35 Mile St
Damariscotta, ME 04543-4047
Phone (207) 563-1234

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11029190FLMDCertified Registered Nurse Anesthetist
041263936ILMDCertified Registered Nurse Anesthetist
209000752ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Novus Illinois Service Corporation Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 11, 2022 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 11, 2022 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Nov 1, 2015 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Nov 4, 2014 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 2, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Nov 2, 2025 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Jan 1, 2024 Accepting new patients
Midstate Anesthesiologists, LTD Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

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

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

Dept 5777
Carol Stream, IL 60122

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

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

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

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

998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000

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

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

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

489 State St
Bangor, ME 04401
Phone (207) 973-8837

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1891736518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10921 W SADDLE DR",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498572",
            "telephone_number": "815-685-1265"
        },
        {
            "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": "815-937-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Miles St",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434047",
            "country_code": "US",
            "telephone_number": "207-563-4837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AARDEMA-COUGHLIN",
        "first_name": "SUSAN",
        "middle_name": "JOY",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041263936",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "11029190",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA253054",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COUGHLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Apr 7, 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.