Individual provider Active NPI

Amanda L Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Chicago, IL
National Provider Identifier
1972074730
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
292106 Issued in AZ
Practice address
5841 S Maryland Ave
Chicago, IL 60637-1443
Phone
(773) 702-1000
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 209018806 IL
Certified Registered Nurse Anesthetist 367500000X 041.423729 IL
Certified Registered Nurse Anesthetist 367500000X 27303 SC
Certified Registered Nurse Anesthetist 367500000X 292106 AZ Primary

Addresses

Primary practice location

5841 S Maryland Ave
Chicago, IL 60637-1443

Mailing address

6429 N Damen Ave Apt 2S
Chicago, IL 60645-5617
Phone (319) 572-0000

Other practice location 1

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000

Other practice location 2

7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aanderson102397@direct.luhs.org Health Information Exchange (HIE) LOYOLA UNIVERSITY MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, SC, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190801001093 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274869987 Reassigns benefits to 2 organizations
I20231006000361 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274869987 Reassigns benefits to 1 organization
I20240801001798 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274869987 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians
Guide Anesthesia Az LLCGroup PAC ID 1355846106, 102 clinicians

Practice addresses (Care Compare)

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (480) 420-4027

6501 N 19TH Ave
Phoenix, AZ 85015-1646
Phone (602) 795-6020

Hospital & facility affiliations

  • The Core Institute Specialty Hosp Hospital, Phoenix, AZ, CCN 030108
  • Banner - University Medical Center Phoenix Hospital, Phoenix, AZ, CCN 030002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041.423729ILMDCertified Registered Nurse Anesthetist
209018806ILMDCertified Registered Nurse Anesthetist
27303SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group Current Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 1, 2022 Accepting new patients
Gottlieb Midwest Anesthesiologists, LLC CurrentSince Dec 15, 2022 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 1, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 10, 2023 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 31, 2025 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 18, 2024 Accepting new patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 3, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 10, 2023 Accepting new patients
Mayo Clinic Arizona CurrentSince Jul 18, 2024 Accepting new patients
Ascend Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients

Locations

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

1902 W Union Hills Dr
Unit 41550
Phoenix, AZ 85080

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

13400 E Shea Blvd
Scottsdale, AZ 85259

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

9145 Collection Ctr Dr
Chicago, IL 60693

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

530 N Cass Ave
Westmont, IL 60559
Phone (630) 794-8688

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

7 Independence Pt
Ste 300
Greenville, SC 29615
Phone (864) 522-3700

67 Creekside Park Ct
Greenville, SC 29615
Phone (864) 242-4602

Organizations & group practices 11

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1972074730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 N DAMEN AVE APT 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606455617",
            "telephone_number": "319-572-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371443",
            "telephone_number": "773-702-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13400 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595499",
            "country_code": "US",
            "telephone_number": "480-301-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Independence Pt Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296154569",
            "country_code": "US",
            "telephone_number": "864-522-3700",
            "fax_number": "864-522-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209018806",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041.423729",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "27303",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "292106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aanderson102397@direct.luhs.org",
            "affiliation": "Y",
            "affiliationName": "LOYOLA UNIVERSITY MEDICAL CENTER",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.