Individual provider Active NPI

Jie Li, CRNA

  • Certified Registered Nurse Anesthetist
  • Beckley, WV
National Provider Identifier
1972032464
Registry record updated Jun 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
68483 Issued in WV
Practice address
1710 Harper Rd
Beckley, WV 25801-3357
Phone
(828) 398-5244
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2017

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 68483 WV Primary

Addresses

Primary practice location

1710 Harper Rd
Beckley, WV 25801-3357

Mailing address

PO Box 2295
Asheville, NC 28802-2295
Phone (828) 398-5244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181024001043 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395016612 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HSC Anesthesia Services LLCGroup PAC ID 6406221142, 8 clinicians
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

10 Salt Creek LN
Hinsdale, IL 60521-2903
Phone (630) 325-5035

1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400

1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000

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

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Jun 19, 2019 Accepting new patients
Rockford Anesthesiologists Associated, L.L.C. CurrentSince Oct 30, 2025 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2018 Accepting new patients
Rockford Anesthesiologists Associated, L.L.C. Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2025 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Aug 13, 2021 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince May 31, 2022 Accepting new patients
Midwest Anesthesia Partners, LLC CurrentSince Oct 1, 2020 Accepting new patients
HSC Anesthesia Services LLC CurrentSince Oct 16, 2023 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

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

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

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

10 Salt Creek Ln
Hinsdale, IL 60521
Phone (630) 325-5035

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

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

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

1016 Featherstone Rd
Rockford, IL 61107
Phone (815) 226-3300

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

Organizations & group practices 8

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1972032464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2295",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288022295",
            "telephone_number": "828-398-5244",
            "fax_number": "828-360-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "828-398-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "JIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "68483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.