Stacy L Becker, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Olney, IL
NPI 1992903835 · NPPES record last updated Jun 20, 2024
Key facts
- NPI
- 1992903835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209005594 (IL)
- Practice address
- 800 E Locust St
Olney, IL 62450-2553 - Phone
- (618) 395-7340
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North American Partners in Anesthesia Illinois LLC
American Anesthesiology Associates of Illinois, S.C.
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
- Osf Sacred Heart Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071009000449 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860587631 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005594 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Pain Treatment Institute, LTD | Current |
Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current |
Accepting new patients | |
| Pinnacle Anesthesia, LTD | Current |
Accepting new patients | |
| Illinois Pain Treatment Institute, LTD | 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
998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000
333 Madison St
Joliet, IL 60435
Phone (815) 725-7222
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) 254-8872
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209005594 | IL | Yes |
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
- Ms. Stacy L Burg
Other providers in Olney, IL
- Jamee S. Baltzell
- Christopher Baptist
- Candace Barnes
- Cynthia A Bateman
- Jamie Marie Bayler
- Teresa Beehn
- Mark Thomas Behnam
- David R Benson
- Shari Lyn Berger
- Jessica Nichole Berghaus
All providers in Olney, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.