STANLEY ANSEL KRISTIANSEN CRNA
NPI 1205984366
Nurse Anesthetist, Certified Registered in Berwyn, IL
About Stanley Ansel Kristiansen Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANLEY ANSEL KRISTIANSEN CRNA (NPI 1205984366) is an individual nurse anesthetist, certified registered in Berwyn, Illinois, licensed in Illinois (209027161) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stanley Ansel Kristiansen Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Stanley Kristiansen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mokena, IL 60448
- Reassigned Medicare billing, Illinois enrollment
- 63 clinicians in this Medicare group
Saint Louis, MO 63132
- Reassigned Medicare billing, Illinois enrollment
- 37 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Illinois enrollment
- 95 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BERWYN, IL 60402
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 Stanley Kristiansen's NPI number?
The NPI number for Stanley Kristiansen is 1205984366. It was assigned to this individual provider in the NPPES registry on January 8, 2007. The provider is also known as Mr. Stanley Ansel Kristiansen Crna.
Where is Stanley Kristiansen located?
Stanley Kristiansen practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-3013.
What is Stanley Kristiansen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Stanley Kristiansen enrolled in Medicare?
Yes. Stanley Kristiansen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Stanley Kristiansen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Kristiansen reassigns Medicare benefits to 3 organizations: Elite Anesthesia Providers, Ltd (Mokena, IL), Quantum Anesthesia Services LLC (Saint Louis, MO) and 360 Anesthesia PLLC (Wilkes Barre, PA). 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 Stanley Kristiansen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stanley Kristiansen accept?
Health plans from CareSource list Stanley Kristiansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Stanley Kristiansen was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Stanley Ansel Kristiansen, CRNA · NPI 1205984366
Nurse Anesthetist, Certified Registered physician in Berwyn, Illinois. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1205984366 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209027161 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3249 OAK PARK AVE, Berwyn, IL 60402-3429
- **Phone:** (708) 783-3013
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Elite Anesthesia Providers, Ltd (NPI 1679258388, Mokena, IL); Quantum Anesthesia Services LLC (NPI 1033546833, Saint Louis, MO); 360 Anesthesia PLLC (NPI 1811637366, Wilkes Barre, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2023
- **Other identifiers:** Other 237042323 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1205984366) · Data from the CMS NPPES public registry.