Active NPI
Becky L Madsen, CRNA
- Certified Registered Nurse Anesthetist
- Loves Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209016513
- Practice address
- 2202 Harlem Rd Ste 200
Loves Park, IL 61111-2754 - Phone
- (815) 877-4848
- Fax
- (815) 636-6125
- NPI assigned
- Jul 18, 2017
- Last updated
- Jul 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041345477 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209016513 | IL | Primary |
Addresses
Primary practice location
2202 Harlem Rd Ste 200
Loves Park, IL 61111-2754
Mailing address
2202 Harlem Rd Ste 200
Loves Park, IL 61111-2754
Phone (815) 877-4848
Other names 1
- Becky L Hoffman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AR
Enrollment records 2
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
Practice addresses (Care Compare)
620 N Main St
Second Floor
Harrison, AR 72601-2911
Phone (870) 414-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041345477 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| Rockford Anesthesiologists Associated, L.L.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rockford Anesthesiologists Associated, L.L.C. | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients |
Locations
620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000
620 N Main St
Fl Second
Harrison, AR 72601
Phone (870) 414-4000
620 N Willow St
Harrison, AR 72601
Phone (870) 365-2000
2202 Harlem Rd
Loves Park, IL 61111
Phone (815) 877-4848
2202 Harlem Rd
#200
Loves Park, IL 61111
Phone (815) 877-4848
1016 Featherstone Rd
Rockford, IL 61107
Phone (815) 226-3300
1401 E State St
Rockford, IL 61104
Phone (815) 489-4267
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
-
- Certified Registered Nurse Anesthetist
- Loves Park, IL
- NPI 1629090642
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Loves Park, IL
- NPI 1639128598
-
dba North Arkansas Anesthesia
- Anesthesiology Physician
- Harrison, AR
- NPI 1245355296
-
dba NARMC Pain Management
- Pain Medicine Physician
- Harrison, AR
- NPI 1689533317
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emergency Medical Service Pro Fee
- Land Ambulance
- Harrison, AR
- NPI 1013907682
Hospital
-
- General Acute Care Hospital
- Harrison, AR
- NPI 1275523912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992228365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 HARLEM RD STE 200",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-636-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2202 HARLEM RD STE 200",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611112754",
"telephone_number": "815-877-4848",
"fax_number": "815-636-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADSEN",
"first_name": "BECKY",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041345477",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209016513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BECKY",
"last_name": "HOFFMAN",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Loves Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.