Individual provider Active NPI

Rebecca Jean Burkhart, CRNA

  • Certified Registered Nurse Anesthetist
  • Oak Park, IL
National Provider Identifier
1962124347
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209026187 Issued in IL
Practice address
3 Erie CT
Oak Park, IL 60302-2519
Phone
(708) 383-6200
NPI assigned
Sep 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 041403420 IL
Certified Registered Nurse Anesthetist 367500000X 209026187 IL Primary

Addresses

Primary practice location

3 Erie CT
Oak Park, IL 60302-2519

Mailing address

1550 S Blue Island Ave Unit 811
Chicago, IL 60608-2898

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rburkhart170121@direct.luhs.org Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221213002694 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911376959 Reassigns benefits to 6 organizations
I20240523000950 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911376959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gottlieb Community Health Services CorporationGroup PAC ID 3375442999, 42 clinicians
Stellar Pain and Spine SpecialistsGroup PAC ID 8628361276, 12 clinicians
Encore Anesthesia Group LLCGroup PAC ID 3476979683, 35 clinicians
Stellar Anesthesia Specialists PLLCGroup PAC ID 1850824798, 11 clinicians

Practice addresses (Care Compare)

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 788-9100

5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 878-8200

701 W N Ave
Melrose Park, IL 60160-1612
Phone (708) 681-3200

830 N Ashland Ave
Chicago, IL 60622-5684
Phone (773) 280-7001

830 N Ashland Ave
Suite 1N
Chicago, IL 60622-1111
Phone (773) 280-7001

Hospital & facility affiliations

  • Macneal Hospital Hospital, Berwyn, IL, CCN 140054
  • Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041403420ILMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sedation Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 17, 2024 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Aug 8, 2023 Accepting new patients
Northstar Anesthesia of Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince May 16, 2024 Accepting new patients
Stellar Anesthesia Specialists PLLC CurrentSince Aug 1, 2025 Accepting new patients
Encore Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2022 Accepting new patients
Stellar Pain and Spine Specialists CurrentSince Jun 2, 2025 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Aug 8, 2023 Accepting new patients
Loyola Medical Group LLC CurrentSince Dec 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

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

731 S State Route 21
Gurnee, IL 60031
Phone (847) 247-0187

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

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

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

Organizations & group practices 10

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 2

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": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962124347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S BLUE ISLAND AVE UNIT 811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-383-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "REBECCA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "IL",
            "license": "041403420",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209026187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rburkhart170121@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3 Erie Ct",
            "city": "Oak Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "603022519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.