Individual provider Active NPI

Dena Vincent, CRNA

  • Certified Registered Nurse Anesthetist
  • Evergreen Park, IL
National Provider Identifier
1912943705
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209004175 Issued in IL
Practice address
2800 W 95TH St
Evergreen Park, IL 60805-2746
Phone
(708) 422-6200
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209004175 IL Primary

Addresses

Primary practice location

2800 W 95TH St
Evergreen Park, IL 60805-2746

Mailing address

185 Penny Ave
East Dundee, IL 60118-1454
Phone (847) 836-7015

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060714000228 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537172523 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
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
Amsurg Oak Lawn Il Anesthesia LLCGroup PAC ID 1557587029, 7 clinicians

Practice addresses (Care Compare)

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

9921 Southwest Hwy
Oak Lawn, IL 60453-3754
Phone (708) 425-2552

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209004175ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jun 29, 2019 Accepting new patients
American Anesthesiology Associates of Illinois, S.C. CurrentSince Jan 15, 2022 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Aug 31, 2023 Accepting new patients
Amsurg Oak Lawn Il Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Aug 31, 2023 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

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

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

1700 E West Rd
Calumet City, IL 60409
Phone (708) 891-3330

1500 S Fairfield Ave
Chicago, IL 60608
Phone (773) 257-5701

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

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

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

301 Madison St
Joliet, IL 60435
Phone (815) 725-6331

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

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

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

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

9921 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 425-2552

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

5666 E State St
Rockford, IL 61108
Phone (815) 226-2000

2515 Klein Rd
Sycamore, IL 60178
Phone (800) 243-2587

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 6

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 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1912943705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PENNY AVE",
            "city": "EAST DUNDEE",
            "state": "IL",
            "postal_code": "601181454",
            "telephone_number": "847-836-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052746",
            "telephone_number": "708-422-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "DENA",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209004175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.