Matthew J Bednarchik, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209009383 Issued in IL

Practice address

1600 W Walnut St
Jacksonville, IL 62650-1136

Phone

(217) 245-9541

NPI assigned

Feb 15, 2012

Last updated

Jan 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson County HospitalGroup PAC ID 9335059575, shared by 4 NPIs, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson County Health Center Hospital, Fairfield, IA, CCN 161364
• Davis County Hospital Hospital, Bloomfield, IA, CCN 161327
• Van Buren County Hospital Hospital, Keosauqua, IA, CCN 161337

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbednarchik278434@uihcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jacksonville Crnas Inc

  • Certified Registered Nurse Anesthetist
  • Jacksonville, IL
  • NPI 1821302068

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Medicare reassignment NPD
• Jefferson County Hospital

  dba Jefferson County Health Center

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Medicare reassignment NPD
• Jefferson County Hospital

  dba JCHC Richland Clinic

  • Rural Health Clinic/Center
  • Richland, IA
  • NPI 1881294536
  Medicare reassignment NPD
• Monroe County Hospital

  • Critical Access Hospital
  • Albia, IA
  • NPI 1205895299
  Medicare reassignment NPD
• Monroe County Hospital

  dba MCH Clinic

  • Rural Health Clinic/Center
  • Albia, IA
  • NPI 1245469378
  Medicare reassignment NPD
• Van Buren County Hospital

  • Emergency Medicine Physician
  • Keosauqua, IA
  • NPI 1316063076
  Medicare reassignment NPD
• Van Buren County Hospital

  • Critical Access Hospital
  • Keosauqua, IA
  • NPI 1508810714
  Medicare reassignment NPD
• Jefferson County Hospital

  dba JCH Professional Clinic

  • Surgery Physician
  • Fairfield, IA
  • NPI 1972771384
  NPD
• Monroe County Hospital

  • Family Medicine Physician
  • Albia, IA
  • NPI 1730274424

  Nurse Anesthetist, Certified Registered

  NPD
• Van Buren County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Keosauqua, IA
  • NPI 1598844037
  NPD
• Sangamon Associated Anesthesiologists, S.C.

  • Certified Registered Nurse Anesthetist
  • Springfield, IL
  • NPI 1699712661

  Nurse Anesthetist, Certified Registered

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Care Compare affiliation
• Jefferson County Hospital

  dba Jefferson County Health Center

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Care Compare affiliation
• Van Buren County Hospital

  • Critical Access Hospital
  • Keosauqua, IA
  • NPI 1508810714
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1124391552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501136",
            "telephone_number": "217-525-5643",
            "fax_number": "217-544-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W WALNUT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501136",
            "telephone_number": "217-245-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNARCHIK",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209009383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174580831",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Anthony Baker, M.D.
• Katie Lynn Barrett
• Eldon G. Barrowes
• Barton W Stone Jacksonville, LLC (Heritage Health)
• Barton W. Stone - Jacksonville, L.L.C. (Heritage Health - Jacksonville)
• Best Senior Care, Inc. (Home Instead Senior Care)
• Rebecca J Beyers, PT
• Nora A Bishop, LCPC
• Tyler Blair
• Amy Jo Blanford, PT

• Certified Registered Nurse Anesthetist in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.