Active NPI
Stacy L Becker, CRNA
- Certified Registered Nurse Anesthetist
- Olney, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209005594
- Practice address
- 800 E Locust St
Olney, IL 62450-2553 - Phone
- (618) 395-7340
- NPI assigned
- Jul 3, 2007
- Last updated
- Jun 20, 2024
- 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 | 209005594 | IL | Primary |
Addresses
Primary practice location
800 E Locust St
Olney, IL 62450-2553
Mailing address
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
Other names 1
- Ms. Stacy L Burg
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 783-9100
333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133
77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200
812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005594 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Anesthesia, LTD | Current | Accepting new patients | |
| Illinois Pain Treatment Institute, LTD | Current | Accepting new patients | |
| Illinois Pain Treatment Institute, LTD | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients |
Locations
600 Hart Rd
Ste 320
Barrington, IL 60010
Phone (847) 852-2000
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
431 Summit St
Ste 101
Elgin, IL 60120
Phone (847) 289-8822
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000
22285 N Pepper Rd
Ste 302
Lake Barrington, IL 60010
Phone (847) 726-0774
890 Garfield Ave
Ste 203
Libertyville, IL 60048
Phone (224) 433-6239
4309 W Medical Center Dr
Ste B103
McHenry, IL 60050
Phone (815) 363-9595
2455 Dean St
Ste 3G
St Charles, IL 60175
Phone (630) 262-2640
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
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.
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Interventional Pain Medicine Physician
- Elgin, IL
- NPI 1295811479
-
- Anesthesiology Physician
- Elgin, IL
- NPI 1205103777
-
dba Illinois Pain and Spine Institute
- Pain Clinic/Center
- Libertyville, IL
- NPI 1417758483
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Sacred Heart Medical Center
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1992903835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E LOCUST ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "624502553",
"telephone_number": "618-395-7340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E LOCUST ST",
"city": "OLNEY",
"state": "IL",
"postal_code": "624502553",
"telephone_number": "618-395-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "STACY",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209005594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACY",
"last_name": "BURG",
"middle_name": "L",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olney, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.