JETTERO FUSHI APN-CRNA
NPI 1013737659
Nurse Anesthetist, Certified Registered in Evanston, IL

Active since October 16, 2024Accepts Medicare Assignment
2650 RIDGE AVE, EVANSTON, IL 60201(847) 570-2760 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jettero Fushi Apn-crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JETTERO FUSHI APN-CRNA (NPI 1013737659) is an individual nurse anesthetist, certified registered in Evanston, Illinois, licensed in Illinois (209030788) and active in the NPI registry since October 2024. He is affiliated with Northshore University Healthsystem - Evanston Hospital and is a graduate of Other (2024).

NPPES Registry Identity

NPI1013737659
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJETTERO FUSHICredential: APN-CRNA
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address2650 Ridge AveEvanston, IL 60201-1700 · (847) 982-3172
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 16, 2024
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1013737659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 209030788
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2650 RIDGE AVE, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jettero Fushi Apn-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.

PECOS PAC ID42743692
PECOS Enrollment IDI20241104003297

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Pediatrics
2650 RIDGE AVE
EVANSTON, IL 60201
Obstetrics & Gynecology
2650 RIDGE AVE
EVANSTON, IL 60201

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 Jettero Fushi's NPI number?

The NPI number for Jettero Fushi is 1013737659. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Jettero Fushi located?

Jettero Fushi practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-2760.

What is Jettero Fushi's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jettero Fushi enrolled in Medicare?

Yes. Jettero Fushi 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.

Is Jettero Fushi affiliated with any hospitals?

According to CMS data, Jettero Fushi is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Jettero Fushi was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.