Active NPI
Melissa Terhark, C.R.N.A
- Certified Registered Nurse Anesthetist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.005184
- Practice address
- 8600 North State Route 91
Suite #250
Peoria, IL 61615 - Phone
- (309) 692-5394
- Fax
- (309) 692-2538
- NPI assigned
- Sep 5, 2006
- Last updated
- Nov 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 041253749 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209.005184 | IL | Primary |
Addresses
Primary practice location
8600 North State Route 91
Suite #250
Peoria, IL 61615
Mailing address
2814 E 2525TH Rd
Marseilles, IL 61341-9570
Phone (309) 453-9350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 230
The Villages, FL 32162-1762
Phone (352) 350-8484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041253749 | IL | MD | Certified Registered Nurse Anesthetist |
| 209.005184 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Valley Pain Care Centers LTD | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Nature Coast Anesthesia Providers, P.a. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Key West Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| St . Lukes at the Villages, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Anesthesia Associates, LTD | Current | Accepting new patients | |
| Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Advanced Surgery Center of Oxford | Past | Accepting new patients | |
| Decatur Memorial Hospital | Past | Accepting new patients | |
| Decatur Memorial Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
5900 W Junior College Rd
Key West, FL 33040
Phone (305) 294-5531
17560 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-7855
1950 SW 18th Ct
Ste 102
Ocala, FL 34471
Phone (352) 789-6575
4600 SW 46th Ct
Ste 150
Ocala, FL 34474
Phone (352) 369-5999
6547 SW State Road 200
Ocala, FL 34476
Phone (352) 355-3300
12117 County Road 103
Oxford, FL 34484
Phone (813) 335-2355
1879 Nightingale Ln
Ste A2
Tavares, FL 32778
Phone (352) 742-0079
1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484
2955 Brownwood Blvd
Ste 303
The Villages, FL 32163
Phone (352) 350-8484
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
23 S Lincolnway
North Aurora, IL 60542
Phone (630) 264-8000
100 5th St
Oswego, IL 60543
Phone (630) 449-0085
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
8600 State Route 91
Ste 250
Peoria, IL 61615
Phone (309) 692-5393
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070
1879 N Neltnor Blvd
West Chicago, IL 60185
400 10th St E
Waconia, MN 55387
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- melissa.terharkcrna.p3@direct.stlukeseye.nextgenshare.com
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- The Villages, FL
- NPI 1801144217
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Aurora, IL
- NPI 1952308223
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Pain Medicine Physician
- Dekalb, IL
- NPI 1194722058
-
- Anesthesiology Physician
- Key West, FL
- NPI 1598269524
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Dora, FL
- NPI 1578557104
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Oxford, FL
- NPI 1962046151
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
dba Quincy Medical Group Barry Affiliate
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1003919382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 E 2525TH RD",
"city": "MARSEILLES",
"state": "IL",
"postal_code": "613419570",
"telephone_number": "309-453-9350",
"fax_number": "309-692-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 NORTH STATE ROUTE 91",
"address_2": "SUITE #250",
"city": "PEORIA",
"state": "IL",
"postal_code": "61615",
"telephone_number": "309-692-5394",
"fax_number": "309-692-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERHARK",
"first_name": "MELISSA",
"credential": "C.R.N.A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041253749",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.005184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.