Active NPI
Sarah Nicole Kries, CRNA
- Certified Registered Nurse Anesthetist
- Herrin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209013021
- Practice address
- 201 S 14TH St
Herrin, IL 62948-3631 - Phone
- (618) 942-2171
- Fax
- (618) 351-4919
- NPI assigned
- Jul 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041369893 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209013021 | IL | Primary |
Addresses
Primary practice location
201 S 14TH St
Herrin, IL 62948-3631
Mailing address
1239 E Main St
Carbondale, IL 62901-3175
Phone (618) 942-2171
Other practice location 1
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
Other practice location 2
510 Lincoln Dr
Herrin, IL 62948-6334
Phone (618) 997-6800
Other practice location 3
405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214881 | Other | IL | MULTI SPECIALTY GROUP |
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1423 Chicago Rd
Chicago Heights, IL 60411-3400
Phone (708) 756-1000
2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156
201 S 14TH St
Herrin, IL 62948-3631
Phone (618) 942-2171
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041369893 | IL | MD | Registered Nurse |
| 209013021 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Illinois Medical Services, NFP | Current | Accepting new patients | |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300
1239 E Main St
Carbondale, IL 62901
Phone 6185490721 ext. 65799
510 Lincoln Dr
Herrin, IL 62948
Phone (618) 997-3100
201 S 14th St
#Sih
Herrin, IL 62948
Phone 6189422171 ext. 65137
201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171
2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
Organizations & group practices 2
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
- Arlington, TX
- NPI 1962822395
IL, Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Carbondale, IL
- NPI 1770656837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carbondale, IL
- NPI 1093801797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1063897908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 E MAIN ST",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013175",
"telephone_number": "618-942-2171",
"fax_number": "618-351-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 14TH ST",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483631",
"telephone_number": "618-942-2171",
"fax_number": "618-351-4919"
}
],
"practiceLocations": [
{
"address_1": "2 S Hospital Dr",
"address_purpose": "LOCATION",
"city": "Murphysboro",
"state": "IL",
"postal_code": "629663333",
"country_code": "US",
"telephone_number": "618-684-3156",
"fax_number": "618-529-0529",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Lincoln Dr",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "629486334",
"country_code": "US",
"telephone_number": "618-997-6800",
"fax_number": "618-993-8188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 W Jackson St",
"address_purpose": "LOCATION",
"city": "Carbondale",
"state": "IL",
"postal_code": "629011462",
"country_code": "US",
"telephone_number": "618-549-0721",
"fax_number": "618-529-0449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRIES",
"first_name": "SARAH",
"middle_name": "NICOLE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-21",
"last_updated": "2021-05-12",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041369893",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209013021",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTI SPECIALTY GROUP",
"identifier": "214881",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.