SEAN PEDLEY DNP
NPI 1295612992
Nurse Anesthetist, Certified Registered in New Lenox, IL
- Individual
- Male
- Years of Experience 2
- Nurse Anesthetist, Certified Registered
- May Accept Medicare Approved Payment
About SEAN PEDLEY
This page provides the complete NPI Profile along with additional information for Sean Pedley, a provider established in New Lenox, Illinois with a medical specialization in Nurse Anesthetist, Certified Registered and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1295612992 assigned on August 2025. The practitioner's primary taxonomy code is 367500000X with license number 209.033187 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1295612992 Verify this NPI
- Provider Name
- SEAN PEDLEY DNP
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1900 SILVER CROSS BLVD NEW LENOX, IL 60451
- Location Phone
- (815) 300-7910
- Mailing Address
- 1900 SILVER CROSS BLVD NEW LENOX, IL 60451
- Mailing Phone
- (815) 300-7910
- Medical School Name
- OTHER
- Graduation Year
- 2025
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-18-2025
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209.033187
- License State
- IL
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 041589145 (IL) |
Medicare Participation & PECOS Enrollment Status
Sean Pedley is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 42700585
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251104002659
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for SEAN PEDLEY DNP
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW LENOX, IL 60451
NEW LENOX, IL 60451
NEW LENOX, IL 60451
NEW LENOX, IL 60451
NEW LENOX, IL 60451
NEW LENOX, IL 60451
NEW LENOX, IL 60451
NEW LENOX, IL 60451
NEW LENOX, IL 60451
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295612992, enumerated as an "individual" on August 18, 2025.
The provider is located at 1900 SILVER CROSS BLVD NEW LENOX, IL 60451 and the phone number is (815) 300-7910.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
