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KENNETH C LEEBERG CRNA
NPI 1093172132
Nurse Anesthetist, Certified Registered in Flossmoor, IL

Active since January 20, 2016PECOS EnrolledAccepts Medicare Assignment
19624 GOVERNORS HWY, FLOSSMOOR, IL 60422(708) 798-5838(708) 798-5865 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017, Feb 10, 2016 and 1 more (4 updates tracked since 2016).

About Kenneth C Leeberg Crna NPPES

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

KENNETH C LEEBERG CRNA (NPI 1093172132) is an individual nurse anesthetist, certified registered in Flossmoor, Illinois, licensed in Illinois (209013780) and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, is affiliated with Presence Saint Joseph Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093172132
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKENNETH C LEEBERGCredential: CRNA
Location Address19624 GOVERNORS HWYFlossmoor, IL 60422-2077
Mailing Address23654 Springs Ct Unit 119Plainfield, IL 60585-2243 · (630) 567-2132
Phone(708) 798-5838
Fax(708) 798-5865
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 20, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1093172132 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
Licenses✔ Licensed in IL · 209013780✔ Licensed in IL · 041395579
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.
19624 GOVERNORS HWY, Flossmoor, IL 60422
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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

Kenneth C Leeberg 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 ID8123322054
PECOS Enrollment IDI20160212000883
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Kenneth Leeberg reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Anesthesia Associates
Same address
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
Flossmoor, IL 60422
  • Reassigned Medicare billing, Illinois enrollment
  • 16 clinicians in this Medicare group
NPI 1528260635 (708) 798-5838
American Anesthesiology Associates Of Illinois, S.C.
7.9 mi
Anesthesiology
19627 S LA GRANGE RD
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
NPI 1962512335 (800) 243-3839
Ias Illinois PC
41 mi
Anesthesiology
2525 KANEVILLE RD
Geneva, IL 60134
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1265118723 (630) 584-1400
North American Partners In Anesthesia (illinois), LLC
157 mi
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1699032524 (630) 990-9729

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

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.

Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Presence Saint Joseph Medical Center

Acute Care Hospitals · Joliet, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140007
Location333 N Madison StJoliet, IL 60435 · Will County
Emergency services Birthing friendly

Morris Hospital & Healthcare Centers

Acute Care Hospitals · Morris, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140101
Location150 W High StMorris, IL 60450 · Grundy County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60422 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.

MRS. PATRICIA JEAN MURTAUGH CRNA
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
CAPLEA FAMILY MEDICINE
Family Medicine
19624 GOVERNORS HWY, SUITE 9
FLOSSMOOR, IL 60422
Cook County (708) 647-9800
MRS. NANCY FROST C.R.N.A
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
DR. ANDREA LINDLEY CAPLEA M.D.
Family Medicine
19624 GOVERNORS HWY, SUITE 9
FLOSSMOOR, IL 60422
Cook County (708) 647-9800
JERRIE J POSTHUMUS C.R.N.A
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
MR. DANIEL RINALDI C.R.N.A.
Nurse Anesthetist, Certified Registered
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-5838
SHELENA CLAY
Counselor (Mental Health)
19624 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (872) 225-8293
DR. GEOFFREY O CAPLEA M.D.
Family Medicine
19624 GOVERNORS HWY, SUITE 9
FLOSSMOOR, IL 60422
Cook County (708) 647-9800

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 Kenneth Leeberg's NPI number?

The NPI number for Kenneth Leeberg is 1093172132. It was assigned to this individual provider in the NPPES registry on January 20, 2016.

Where is Kenneth Leeberg located?

Kenneth Leeberg practices at 19624 Governors Hwy, Flossmoor, IL 60422. The listed phone number is (708) 798-5838.

What is Kenneth Leeberg's specialty?

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

Is Kenneth Leeberg enrolled in Medicare?

Yes. Kenneth Leeberg 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 organizations bill Medicare for Kenneth Leeberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Leeberg reassigns Medicare benefits to 4 organizations: Lake Anesthesia Associates (Flossmoor, IL), American Anesthesiology Associates Of Illinois, S.C. (Mokena, IL), Ias Illinois PC (Geneva, IL) and North American Partners In Anesthesia (illinois), LLC (Springfield, IL). Each 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 Kenneth Leeberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kenneth Leeberg affiliated with any hospitals?

According to CMS data, Kenneth Leeberg is affiliated with Presence Saint Joseph Medical Center and Morris Hospital & Healthcare Centers.

When was this NPI record last updated?

The NPPES record for Kenneth Leeberg was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.