Active NPI
Heidi L Wood, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.012618
- Practice address
- 701 N 1St St
Springfield, IL 62781-4936 - Phone
- (217) 788-3000
- NPI assigned
- Feb 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.012618 | IL | Primary |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62781-4936
Mailing address
701 N 1St St
Springfield, IL 62781-0001
Phone (217) 788-3000
Other practice location 1
600 S 13th St
Pekin, IL 61554-4936
Phone (309) 347-1151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041.340815 | Other | IL | RN LICENSE |
Other names 1
- Heidi L Roberts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
701 N 1St St
Springfield, IL 62781-0001
Phone (217) 788-3755
Hospital & facility affiliations
- Jersey Community Hospital
- Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.012618 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Community Hospital | Current | Accepting new patients | |
| Memorial Medical Center | Current | Accepting new patients | |
| Memorial Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jersey Community Hospital District | Current | Accepting new patients | |
| Jersey Community Hospital | Past | Accepting new patients | |
| Memorial Medical Center | Past | Accepting new patients |
Locations
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
3132 Old Jacksonville Rd
Ste 250
Springfield, IL 62704
747 N Rutledge St
Springfield, IL 62702
Phone (217) 545-6112
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1255393112
Nurse Anesthetist, Certified Registered
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1700423696
-
- Family Medicine Physician
- Jerseyville, IL
- NPI 1134163827
-
- Audiologist
- Springfield, IL
- NPI 1679549968
-
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1659750818
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1255317590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1043600547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627810001",
"telephone_number": "217-788-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627814936",
"telephone_number": "217-788-3000"
}
],
"practiceLocations": [
{
"address_1": "600 S 13th St",
"address_purpose": "LOCATION",
"city": "Pekin",
"state": "IL",
"postal_code": "615544936",
"country_code": "US",
"telephone_number": "309-347-1151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOD",
"first_name": "HEIDI",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-04",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.012618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "041.340815",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "ROBERTS",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.