Mrs Jacqueline Ann Bautista, CRNA - Nurse Anesthetist, Certified Registered in Elmhurst, IL

Mrs Jacqueline Ann Bautista, CRNA is a Nurse Anesthetist, Certified Registered based in Elmhurst, Illinois. Mrs Jacqueline Ann Bautista is licensed to practice in Illinois (license number 018206) and her current practice location is 200 N Berteau Ave, Elmhurst, Illinois. She can be reached at her office (for appointments etc.) via phone at (630) 833-1400.

NPI number for Mrs Jacqueline Ann Bautista is 1205043015 and her current mailing address is 4423 N New England Ave, Harwood Heights, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205043015.

Contact Information

Mrs Jacqueline Ann Bautista, CRNA
200 N Berteau Ave,
Elmhurst, IL 60126-2966
(630) 833-1400
(630) 941-4597

Map and Direction




Provider's Profile

Full NameMrs Jacqueline Ann Bautista
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location200 N Berteau Ave, Elmhurst, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205043015
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Jacqueline Ann Bautista such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205043015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 018206 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Ann Bautista is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jacqueline Ann Bautista, CRNA
4423 N New England Ave,
Harwood Heights, IL 60706-4825

Ph: (312) 543-3348
Mrs Jacqueline Ann Bautista, CRNA
200 N Berteau Ave,
Elmhurst, IL 60126-2966

Ph: (630) 833-1400

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Elmhurst, IL

Joellyn Haske, C.R.N.A
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-1000    
Ms. Cheryl Anne Keller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-1000    
Holly L. Leischner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-1000    
Ms. Amy K. Tax, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-1000    
Hariklia K Horwath, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-1000    
Lara Pappas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126
Phone: 331-221-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.