MR. JEREMY PHILIP CARLSEN CRNA
NPI 1013293547
Nurse Anesthetist, Certified Registered in Chicago, IL
About Mr. Jeremy Philip Carlsen Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEREMY PHILIP CARLSEN CRNA (NPI 1013293547) is an individual nurse anesthetist, certified registered in Chicago, Illinois, licensed in Illinois (041.356505) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Jeremy Philip Carlsen Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Carlsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60611
CHICAGO, IL 60611
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeremy Carlsen's NPI number?
The NPI number for Jeremy Carlsen is 1013293547. It was assigned to this individual provider in the NPPES registry on October 28, 2011.
Where is Jeremy Carlsen located?
Jeremy Carlsen practices at 251 E Huron St Feinberg 5-704, Chicago, IL 60611. The listed phone number is (312) 926-8369.
What is Jeremy Carlsen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jeremy Carlsen enrolled in Medicare?
Yes. Jeremy Carlsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jeremy Carlsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Carlsen reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Carlsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jeremy Carlsen affiliated with any hospitals?
According to CMS data, Jeremy Carlsen is affiliated with Northwestern Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jeremy Carlsen was last updated on October 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Jeremy Philip Carlsen, CRNA · NPI 1013293547
Nurse Anesthetist, Certified Registered physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since October 28, 2011.
## Identity
- **NPI:** 1013293547 (Entity type: Individual)
- **Enumerated:** October 28, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 041.356505 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 251 E HURON ST, FEINBERG 5-704, Chicago, IL 60611-2908
- **Phone:** (312) 926-8369
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 28, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1013293547) · Data from the CMS NPPES public registry.