JACOB BONNEMA CRNA
NPI 1720778988
Nurse Anesthetist, Certified Registered in Chicago, IL

Active since May 11, 2023Accepts Medicare Assignment
2900 N LAKE SHORE DR, CHICAGO, IL 60657(773) 665-3000 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 7, 2024, Feb 9, 2024, Oct 30, 2023 and 1 more (4 updates tracked since 2023).

About Jacob Bonnema Crna NPPES

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

JACOB BONNEMA CRNA (NPI 1720778988) is an individual nurse anesthetist, certified registered in Chicago, Illinois, licensed in Illinois (209028617) and active in the NPI registry since May 2023. He is affiliated with The University Of Chicago Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1720778988
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJACOB BONNEMACredential: CRNA
Location Address2900 N LAKE SHORE DRChicago, IL 60657-5640
Mailing Address2650 Ridge Ave # 1223Evanston, IL 60201-1700 · (477) 335-3158
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 11, 2023
Last NPPES UpdateMarch 7, 20244 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
NPI 1720778988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in IL · 209028617 Licensed in IL · 041422907
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041422907 (IL), 28281380A (IN)
2900 N LAKE SHORE DR, Chicago, IL 60657

Secondary Practice Locations 2

Location 1800 W Central Rd Dept OfArlington Heights, IL 60005-2349 · Phone (847) 570-2760
Location 25841 S Maryland AveChicago, IL 60637-1443 · Phone (773) 702-1000

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

Jacob Bonnema 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 ID9335594985
PECOS Enrollment IDI20231017001939, I20240131004659

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
29 services28 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
26 services26 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60657 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.

Internal Medicine (Rheumatology)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Internal Medicine (Infectious Disease)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Obstetrics & Gynecology (Gynecologic Oncology)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Radiology (Diagnostic Radiology)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Radiology (Diagnostic Radiology)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Radiology (Diagnostic Radiology)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Radiology (Diagnostic Radiology)
2900 N LAKE SHORE DR
CHICAGO, IL 60657
Radiology (Diagnostic Radiology)
2900 N LAKE SHORE DR
CHICAGO, IL 60657

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720778988, enumerated as an "individual" on May 11, 2023.

The provider is located at 2900 N LAKE SHORE DR CHICAGO, IL 60657 and the phone number is (773) 665-3000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Jacob Bonnema is affiliated with: THE UNIVERSITY OF CHICAGO MEDICAL CENTER.