Individual provider Active NPI

Stacy L Becker, CRNA

  • Certified Registered Nurse Anesthetist
  • Olney, IL
National Provider Identifier
1992903835
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209005594 Issued in IL
Practice address
800 E Locust St
Olney, IL 62450-2553
Phone
(618) 395-7340
NPI assigned
Jul 3, 2007
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071009000449 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860587631 Reassigns benefits to 4 organizations

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
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
American Anesthesiology Associates of Illinois, S.C.Group PAC ID 3971498924, 50 clinicians

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

LicenseStateTypeSpecialty
209005594ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Anesthesia, LTD CurrentSince Jul 1, 2024 Accepting new patients
Illinois Pain Treatment Institute, LTD CurrentSince Jul 1, 2024 Accepting new patients
Illinois Pain Treatment Institute, LTD CurrentSince Jul 1, 2024 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Feb 4, 2025 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.