Active NPI
Jonathan L Sorenson, CRNA
- Certified Registered Nurse Anesthetist
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209000414
- Practice address
- 2 Good Samaritan Way
Suite 205
Mount Vernon, IL 62864-2408 - Phone
- (618) 241-1108
- Fax
- (618) 241-3805
- NPI assigned
- Sep 11, 2006
- Sex
- Male
- 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 | 209000414 | IL | Primary |
Addresses
Primary practice location
2 Good Samaritan Way
Suite 205
Mount Vernon, IL 62864-2408
Mailing address
4227 Lincolnshire Dr
Mount Vernon, IL 62864-2157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050914000749 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860425451 | Reassigns benefits to 3 organizations |
| I20220201002740 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2860425451 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Samaritan Regional Health CenterAnesthesia Associates of Southern Illinois Surgery Center LLC
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
Hospital & facility affiliations
- Good Samaritan Regional HLTH Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.77 of 100
- Quality
- 85.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Jefferson Memorial Surgical Partners LLC | Past | Accepting new patients | |
| HSHS Holy Family Hospital Inc | Past | Accepting new patients | |
| Acuity Anesthesiology LLC | Past | Accepting new patients | |
| Mercy Hospital Jefferson | Past | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
2 Good Samaritan Way
Ste 205
Mount Vernon, IL 62864
Phone (618) 241-1108
Organizations & group practices 12
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
- Mount Vernon, IL
- NPI 1043757487
IL, Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
IL
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
IL
-
- Rehabilitation Hospital Unit
- Mount Vernon, IL
- NPI 1043270424
-
- Community/Retail Pharmacy
- Mount Vernon, IL
- NPI 1316282163
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- Anesthesiology Physician
- Centralia, IL
- NPI 1477097871
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
- General Acute Care Hospital
- Greenville, IL
- NPI 1205850690
-
- Anesthesiology Physician
- Festus, MO
- NPI 1134353030
-
- Ambulatory Surgical Clinic/Center
- Festus, MO
- NPI 1548224207
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390521600000",
"number": "1063516136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4227 LINCOLNSHIRE DR",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GOOD SAMARITAN WAY",
"address_2": "SUITE 205",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642408",
"telephone_number": "618-241-1108",
"fax_number": "618-241-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSON",
"first_name": "JONATHAN",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-11",
"last_updated": "2014-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209000414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
- Jessica Sneed, OTR
- So Illinois Neurology & Rehab
- Anthony N Sodd, MD
- Solutions Psychotherapy LLC
- Samantha Tianna Someske, LPN
- Southern Illinois Acute Care Consultants,LTD
- Southern Illinois Anesthesiology LTD
- Southern Illinois Consultants for Kidney Disease, S.C.
- Southern Illinois Family Foot Care, LLC
- Southern Illinois Heart and Vascular Center, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.