Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heidi A Booth, APN-CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1720701857

Heidi A Booth, APN-CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Evanston, Illinois. Qualified in 2022, 4 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone: (847) 570-2760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209026076 (IL)

Record details

NPI number1720701857
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CRNA
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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