Active NPI
Christine Prince, CRNA
- Certified Registered Nurse Anesthetist
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024166490
- Practice address
- 611 W. Park St.
Anesthesiology
Urbana, IL 61801 - Phone
- (217) 383-3141
- Fax
- (217) 383-3265
- NPI assigned
- Dec 4, 2006
- Last updated
- May 19, 2014
- 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 | 0024166490 | VA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 209005598 | IL |
Addresses
Primary practice location
611 W. Park St.
Anesthesiology
Urbana, IL 61801
Mailing address
611 W. Park St.
BWPC
Urbana, IL 61801-2500
Phone (217) 383-6792
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0533210001 | Other | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NE
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.77 of 100
- Quality
- 67.03
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005598 | IL | MD | Certified Registered Nurse Anesthetist |
| 0024166490 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Faith Regional Physician Services, LLC | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| FRSC Anesthesia LLC | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| St Anthonys Memorial Hospital of the Hospital Sisters of the Third | Current | Accepting new patients | |
| River Run Anesthesia LLC | Past | Accepting new patients | |
| Central Illinois Associates LTD | Past | Accepting new patients | |
| Northeast Nebraska Surgery Center LLC | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
47452 268 Ave
Ste C
Humphrey, NE 68642
Phone (402) 923-0150
2600 W Norfolk Ave
Ste 200
Norfolk, NE 68701
Phone (402) 844-8194
2700 W Norfolk Ave
Norfolk, NE 68701
Phone (402) 644-7131
2701 W Norfolk Ave
Ste 101
Norfolk, NE 68701
Phone (402) 644-7262
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
dba St. Anthony's Memorial Hospital
- General Acute Care Hospital
- Effingham, IL
- NPI 1306800602
-
- Family Medicine Physician
- Norfolk, NE
- NPI 1265489157
-
- Anesthesiology Physician
- Norfolk, NE
- NPI 1316661275
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
dba St. Anthony's Memorial Hospitral
- Clinic/Center
- Effingham, IL
- NPI 1881214104
-
- Pain Medicine (Anesthesiology) Physician
- Decatur, IL
- NPI 1558425462
-
dba Faith Regional Surgery Center
- Ambulatory Surgical Clinic/Center
- Norfolk, NE
- NPI 1861497380
-
- Anesthesiology Physician
- Tappahannock, VA
- NPI 1154482776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1013075092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500",
"telephone_number": "217-383-6792",
"fax_number": "217-383-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W. PARK ST.",
"address_2": "ANESTHESIOLOGY",
"city": "URBANA",
"state": "IL",
"postal_code": "61801",
"telephone_number": "217-383-3141",
"fax_number": "217-383-3265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "CHRISTINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024166490",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209005598",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0533210001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
- Preethi Prem
- Presence Central and Suburban Hospitals Network (Presence Covenant Medical Center)
- Presence Central and Suburban Hospitals Network (Presence Covenant Medical Center)
- Presence Central and Suburban Hospitals Network (Presence Covenant Medical Center)
- Pride in Your Health PC
- Sahara Prince, APRN, CNP
- Jeanette Pritschet, LCSW
- Paul R Pritts, CRNA
- Corrie Proksa
- Promise Healthcare at the Community Resource Center (Frances Nelson Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.