Active NPI
Patrick O'Brien, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209019547
- Practice address
- 800 E Carpenter St
Springfield, IL 62769-1000 - Phone
- (217) 544-6464
- Fax
- (217) 757-6537
- NPI assigned
- Apr 18, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041437410 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209019547 | IL | Primary |
Addresses
Primary practice location
800 E Carpenter St
Springfield, IL 62769-1000
Mailing address
800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12634 Olive Blvd
Saint Louis, MO 63141-6337
Phone (314) 996-8000
1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone (217) 464-2966
4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 233-7750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041437410 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Multi-Specialty | Current | Accepting new patients |
| Midwest Anesthesia Providers S.C | Multi-Specialty | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Multi-Specialty | Current | Accepting new patients |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Washington University | Multi-Specialty | Current | Accepting new patients |
| Associated Anesthesiologists, S.C. | Multi-Specialty | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Multi-Specialty | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Multi-Specialty | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1 Barnes Jewish Hospital Plz
#P
Saint Louis, MO 63110
Phone (618) 474-1074
1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170
12634 Olive Blvd
Saint Louis, MO 63141
Phone (314) 434-0600
660 S Euclid Ave
#8054
Saint Louis, MO 63110
Phone (314) 286-1045
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
Multi-Specialty
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
IL, Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1528005642
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
Multi-Specialty
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
Multi-Specialty
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- Medical-Surgical Registered Nurse
- Hoopeston, IL
- NPI 1457422164
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
Multi-Specialty
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
-
- Rural Health Clinic/Center
- Breese, IL
- NPI 1013002658
Hospital
-
- General Acute Care Hospital
- Breese, IL
- NPI 1457319154
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1053974790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627691000",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627691000",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "PATRICK",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-18",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041437410",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209019547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 24, 2019; 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.