Individual provider

Douglas Michaelson, CRNA

Certified Registered Nurse Anesthetist Medicare enrolled

Douglas Michaelson, CRNA is a Certified Registered Nurse Anesthetist in Dekalb, IL, registered under NPI 1700208105.

Getting there

The practice address on file is 1 KISH HOSPITAL DR, Dekalb, IL 60115. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 KISH HOSPITAL DR, Dekalb, IL 60115 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
209011144 IL Certified Registered Nurse Anesthetist primary

This provider holds licence 209011144 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Certified Registered Nurse Anesthetist (crna)
PAC ID
5597986372

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
North Carolina I20181127002558 Practitioner - Certified Registered Nurse Anesthetist (crna)
South Carolina I20221204000019 Practitioner - Certified Registered Nurse Anesthetist (crna)

Medicare enrolment is recorded as approved under the provider type Practitioner - Certified Registered Nurse Anesthetist (crna). There are 2 separate enrolment records across 2 states (NC, SC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nurse Anesthetist, Certified Registered covers

(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. NUCC Health Care Provider Taxonomy, code 367500000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1700208105 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 20, 2014
Last updatedOct 27, 2020
StatusActive
Sole proprietorNo
CredentialCRNA
Practice address 1 KISH HOSPITAL DR
Dekalb, IL 60115
(630) 936-4029
Fax (630) 936-4032
The last update on file is Oct 27, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1700208105 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 7 0 0 2 0 8 1 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 7 0 0 4 0 7 1 0

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1700208105?
NPI 1700208105 is the National Provider Identifier assigned to Douglas Michaelson, CRNA in Dekalb, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Certified Registered Nurse Anesthetist cover?
(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…
How do I contact Douglas Michaelson, CRNA?
The phone number on file with NPPES is (630) 936-4029, last updated Oct 27, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Douglas Michaelson, CRNA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1700208105 a valid number?
Yes. 1700208105 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.