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CAITLYN COBURN CRNA
NPI 1891376265
Nurse Anesthetist, Certified Registered in Kankakee, IL

Active since April 17, 2021PECOS EnrolledAccepts Medicare Assignment
350 N WALL ST, KANKAKEE, IL 60901(815) 933-1671 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2026, Apr 6, 2026, Jun 14, 2021 and 1 more (4 updates tracked since 2021).

About Caitlyn Coburn Crna NPPES

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

CAITLYN COBURN CRNA (NPI 1891376265) is an individual nurse anesthetist, certified registered in Kankakee, Illinois, licensed in Illinois (135212) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1891376265
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCAITLYN COBURNCredential: CRNA
Location Address350 N WALL STKankakee, IL 60901-2901
Mailing Address1605 E Central Rd Unit 121cArlington Heights, IL 60005-3339 · (603) 557-3895
Phone(815) 933-1671
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 17, 2021
Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1891376265 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 · 135212✔ Licensed in VT · 101.0135810✔ Licensed in NH · 070631-23
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 041.484462 (IL)
350 N WALL ST, Kankakee, IL 60901
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Secondary Practice Location 1

Location 11 Medical Center DrLebanon, NH 03756-1000 · Phone (603) 650-5000 · Fax (603) 640-1228

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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

Caitlyn Coburn 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 ID9931502713
PECOS Enrollment IDI20240326003505, I20240404004141, I20250120000470
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

10

Medicare enrollment records show Caitlyn Coburn reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novus Illinois Service Corporation
Same address
Anesthesiology
350 N WALL ST
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 55 clinicians in this Medicare group
NPI 1295491744 (159) 357-2568
North American Partners In Anesthesia (illinois), LLC
130 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
Clinical Colleagues LLC
130 mi
Anesthesiology
695 N KELLOGG ST
Galesburg, IL 61401
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
NPI 1316399967 (800) 494-3964
Northstar Anesthesia Of Illinois, LLC
768 mi
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1962822395 (817) 583-7421
Dartmouth-Hitchcock Clinic
811 mi
Rehabilitation, Substance Use Disorder
7 DUNNING ST
Claremont, NH 03743
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
NPI 1891648952 (603) 542-7771
Mary Hitchcock Memorial Hospital
816 mi
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
NPI 1023092053 (603) 650-5000
Apollo Medical Group Of Wentworth PLLC
884 mi
Anesthesiology
6 WORKS WAY
Somersworth, NH 03878
  • Reassigned Medicare billing, New Hampshire enrollment
  • 29 clinicians in this Medicare group
NPI 1831748185 (603) 285-9273
St Alphonsus Professional Medical Services LLC
1,456 mi
Anesthesiology
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 188 clinicians in this Medicare group
NPI 1386677524 (208) 367-6416
Hospitalist Medicine Physicians Of Washington - Tcs
1,763 mi
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
NPI 1649816380 (503) 215-1111
Anesthesia Associates Northwest LLC
1,764 mi
Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group
NPI 1548281751 (503) 513-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Providence St Vincent Medical Center

Acute Care Hospitals · Portland, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380004
Location9205 SW Barnes RoadPortland, OR 97225 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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.

PRIT SHAH
Anesthesiology
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (617) 638-6500
SOUND PHYSICIANS OF KANKAKEE ILLINOIS, LLC
Hospitalist
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
MRS. KATHLEEN ANN HUBERT PTA
Physical Therapy Assistant
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7514
MEGAN L LUCAS PHARMD, MHA
Pharmacist
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7256
TRISHA ANDREWS MD
Internal Medicine
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
MUHAMMAD AFFAN KHALID
Student in an Organized Health Care Education/Training Program
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671
TIPPECANOE ANESTHESIA SERVICES LLC
Anesthesiology
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 935-7504
DR. HOWARD I ROTH M.D.
Radiology (Vascular & Interventional Radiology)
350 N WALL ST
KANKAKEE, IL 60901
Kankakee County (815) 933-1671

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 Caitlyn Coburn's NPI number?

The NPI number for Caitlyn Coburn is 1891376265. It was assigned to this individual provider in the NPPES registry on April 17, 2021.

Where is Caitlyn Coburn located?

Caitlyn Coburn practices at 350 N Wall St, Kankakee, IL 60901. The listed phone number is (815) 933-1671.

What is Caitlyn Coburn's specialty?

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

Is Caitlyn Coburn enrolled in Medicare?

Yes. Caitlyn Coburn 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 Caitlyn Coburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlyn Coburn reassigns Medicare benefits to 10 organizations: Novus Illinois Service Corporation (Kankakee, IL), North American Partners In Anesthesia (illinois), LLC (Springfield, IL), Clinical Colleagues LLC (Galesburg, IL), Northstar Anesthesia Of Illinois, LLC (Arlington, TX), Dartmouth-Hitchcock Clinic (Claremont, NH) and 5 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 Caitlyn Coburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlyn Coburn accept?

Health plans from Moda Health Plan, Inc. list Caitlyn Coburn 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.

Is Caitlyn Coburn affiliated with any hospitals?

According to CMS data, Caitlyn Coburn is affiliated with Saint Alphonsus Regional Medical Center, Mary Hitchcock Memorial Hospital and Providence St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Caitlyn Coburn was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.