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MR. LISA M BUSENITZ JABLONSKI CRNA
NPI 1851328793
Nurse Anesthetist, Certified Registered in Peoria, IL

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
8600 N STATE ROUTE 91, SUITE 250, PEORIA, IL 61615(309) 692-5393(309) 692-2538 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Lisa M Busenitz Jablonski Crna NPPES

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

MR. LISA M BUSENITZ JABLONSKI CRNA (NPI 1851328793) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (041249104) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1851328793
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMR. LISA M BUSENITZ JABLONSKICredential: CRNA
Location Address8600 N STATE ROUTE 91, SUITE 250Peoria, IL 61615-9506
Mailing Address8600 N State Route 91, Suite 250Peoria, IL 61615-9506 · (309) 692-5393 · Fax (309) 692-2538
Phone(309) 692-5393
Fax(309) 692-2538
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 27, 2006
Last NPPES UpdateOctober 30, 2013
✔ NPI 1851328793 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 · 041249104
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.
8600 N STATE ROUTE 91, Peoria, IL 61615
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Other Identifiers 1

Medicare ID-Type Unspecified202720IL

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

Mr. Lisa M Busenitz Jablonski 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 ID749472991
PECOS Enrollment IDI20101007000185
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

7

Medicare enrollment records show Lisa Busenitz Jablonski reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Anesthesiologists, S.C.
1.6 mi
Anesthesiology
6742 N FROSTWOOD PKWY
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associated Anesthesiologists Sc
  • 337 clinicians in this Medicare group
NPI 1558306480 (309) 692-5393
Principle Anesthesia PLLC
17 mi
Nurse Anesthetist, Certified Registered
430 MAXINE DR
Morton, IL 61550
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1063128049 (309) 495-4520
Spectrum Health Inc
17 mi
Nurse Anesthetist, Certified Registered
430 MAXINE DR
Morton, IL 61550
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1225792039 (309) 495-4520
Carle West Physician Group Inc
41 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Anesthesia Pain Services LLC
49 mi
Anesthesiology
111 SPRING ST
Streator, IL 61364
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1790075489 (815) 673-2311
North American Partners In Anesthesia (illinois), LLC
68 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
Carle Health Medical Group
90 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 placement or revision of blood flow shunt 01844
Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

DR. MARTIN J HURD MD
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. JEREMY L KROCK DO
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. FRANK A RADOSEVICH MD
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. NYUNT TIN MD
Family Medicine
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
MEGAN M CUNNINGHAM PA-C
Physician Assistant
8600 N STATE ROUTE 91
PEORIA, IL 61615
Peoria County (309) 683-5050
DR. RODNEY C OSBORN MD
Anesthesiology
8600 N STATE ROUTE 91, STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. JOHN K KULA MD
Anesthesiology
8600 N STATE ROUTE 91, STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. A GHAFOOR BAHA MD
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 621-7001

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 Lisa Busenitz Jablonski's NPI number?

The NPI number for Lisa Busenitz Jablonski is 1851328793. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Lisa Busenitz Jablonski located?

Lisa Busenitz Jablonski practices at 8600 N State Route 91 Suite 250, Peoria, IL 61615. The listed phone number is (309) 692-5393.

What is Lisa Busenitz Jablonski's specialty?

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

Is Lisa Busenitz Jablonski enrolled in Medicare?

Yes. Lisa Busenitz Jablonski 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 Lisa Busenitz Jablonski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Busenitz Jablonski reassigns Medicare benefits to 7 organizations: Associated Anesthesiologists, S.C. (Peoria, IL), Principle Anesthesia PLLC (Morton, IL), Spectrum Health Inc (Morton, IL), Carle West Physician Group Inc (Normal, IL), Anesthesia Pain Services LLC (Streator, IL) and 2 more organizations, listed in the Medicare section above. 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 Lisa Busenitz Jablonski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lisa Busenitz Jablonski affiliated with any hospitals?

According to CMS data, Lisa Busenitz Jablonski is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Busenitz Jablonski was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.