Active NPI
Judith Ann Aydt, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209001248
- Practice address
- 1025 S 6TH St
Springfield, IL 62703-2403 - Phone
- (217) 528-7541
- NPI assigned
- Mar 23, 2006
- 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 | 041231721 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209001248 | IL | Primary |
Addresses
Primary practice location
1025 S 6TH St
Springfield, IL 62703-2403
Mailing address
1025 S 6TH St
Springfield, IL 62703-2499
Phone (217) 528-7541
Other practice location 1
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464
Other practice location 2
Memorial Medical Center
701 North First Street
Springfield, IL 62781-0001
Phone (800) 577-5368
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041231721 | IL | MD | Certified Registered Nurse Anesthetist |
| 209001248 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic, LLP | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Anesthesia Pain Services LLC | Current | Accepting new patients | |
| Sangamon Associated Anesthesiologists, S.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Quincy Anesthesia Associates | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100
300 N Broad St
Carlinville, IL 62626
Phone (217) 544-2020
1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
800 E Carpenter St
Rm 2K64
Springfield, IL 62702
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
1025 S 7th St
Springfield, IL 62703
Phone (217) 525-7541
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643
800 E Carpenter St
Rm 2334
Springfield, IL 62769
Phone (217) 525-5643
1025 S 6th St
Springfield, IL 62703
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
- Anesthesiology Physician
- Streator, IL
- NPI 1790075489
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Quincy, IL
- NPI 1013023985
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1699712661
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582502400000",
"number": "1114986486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032499",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 S 6TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627032403",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [
{
"address_1": "800 E Carpenter St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025324",
"country_code": "US",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6537",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Memorial Medical Center",
"address_2": "701 North First Street",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627810001",
"country_code": "US",
"telephone_number": "800-577-5368",
"fax_number": "217-575-2021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AYDT",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2020-02-24",
"certification_date": "2020-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041231721",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209001248",
"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 Feb 24, 2020; 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.