MS. JENNIFER L BANEK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1629314398
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN
Provider Addresses for MS. JENNIFER L BANEK (CRNA)
628 N PRAIRIE AVE
MUNDELEIN, IL 600601751
Phone:
Type: Mailing
1210 E PARK AVE
LIBERTYVILLE, IL 600482955
Phone: (847) 532-9921
Type: Mailing
265 BROOKVIEW CENTRE WAY STE 400
KNOXVILLE, TN 379194052
Phone: (800) 342-2898
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $103.
Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.
Last reported payment date: 2024-06-11 • Largest payer in this snapshot: Baxter Healthcare ($103).
Total Amount
$103
General + Research + Ownership
Payments
1
Total payment records
General Amount
$103
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Baxter Healthcare | $103 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130312000193 | I | Certified Registered Nurse Anesthetist (Crna) | WI | TBD |
| I20140226000843 | I | Certified Registered Nurse Anesthetist (Crna) | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60060)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| A N E S T H E S I O L O G Y | IA | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | IL | |
| Certified Registered Nurse Anesthetist (Crna) | VA |
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