Active NPI
Dena Vincent, CRNA
- Certified Registered Nurse Anesthetist
- Evergreen Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209004175
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209004175 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| American Anesthesiology Associates of Illinois, S.C. | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Amsurg Oak Lawn Il Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Certified Registered Nurse Anesthetist
- Oak Lawn, IL
- NPI 1659799948
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
IL, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1427547538
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1962425611
-
dba OSF Little Company of Mary Medical Center
- General Acute Care Hospital
- Evergreen Park, IL
- NPI 1215572045
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.