Individual provider Active NPI

Melissa Terhark, C.R.N.A

  • Certified Registered Nurse Anesthetist
  • Peoria, IL
National Provider Identifier
1003919382
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.005184 Issued in IL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041005000478 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426017690 Reassigns benefits to 5 organizations
I20200210002236 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426017690 Reassigns benefits to 4 organizations

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
St Lukes at the Villages PAGroup PAC ID 5294987905, 16 clinicians

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

LicenseStateTypeSpecialty
041253749ILMDCertified Registered Nurse Anesthetist
209.005184ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Oct 16, 2023 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Mar 6, 2023 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Jan 27, 2018 Accepting new patients
Valley Pain Care Centers LTD CurrentSince Jul 19, 2017 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Current Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Mar 6, 2023 Accepting new patients
Nature Coast Anesthesia Providers, P.a. Nurse Anesthetist, Certified Registered CurrentSince Apr 10, 2024 Accepting new patients
Key West Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2020 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Sep 30, 2023 Accepting new patients
St . Lukes at the Villages, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2025 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Oct 16, 2023 Accepting new patients
Anesthesia Associates, LTD CurrentSince Feb 1, 2014 Accepting new patients
Solace Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2024 Accepting new patients
Advanced Surgery Center of Oxford PastSince Sep 1, 2019 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

View all 16

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.

Verify at the official NPI Registry.