Nathan Mitchell Carroll, DNP, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

209025391 Issued in IL

Practice address

1000 N Allen St
Robinson, IL 62454-1114

Phone

(618) 544-3131

NPI assigned

Jul 11, 2022

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Medical Center 131 clinicians

North American Partners in Anesthesia Illinois LLC 431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Medical Center Hospital, Springfield, IL, CCN 140148
• St Johns Hospital Hospital, Springfield, IL, CCN 140053

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathan.carroll.1@11356.direct.athenahealth.com

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.

• Memorial Medical Center

  • Certified Registered Nurse Anesthetist
  • Springfield, IL
  • NPI 1255393112

  IL, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• North American Partners in Anesthesia (Illinois), LLC

  • Anesthesiology Physician
  • Oak Park, IL
  • NPI 1699032524

  IL

  Medicare reassignment Care Compare group
• Carle Health Care Incorporated

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947

  IL

  Medicare reassignment NPD
• Crawford Hospital District

  • Internal Medicine Physician
  • Robinson, IL
  • NPI 1861423287

  IL

  Medicare reassignment NPD
• Hoopeston Community Memorial Hospital

  • Internal Medicine Physician
  • Hoopeston, IL
  • NPI 1043683014

  IL

  Medicare reassignment NPD
• Hospital & Medical Foundation of Paris, Inc.

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322

  IL

  Medicare reassignment NPD
• Memorial Medical Center

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1033171343
  Care Compare group
• Memorial Medical Center

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1255317590
  Care Compare group
• Memorial Medical Center

  • Psychiatric Hospital Unit
  • Springfield, IL
  • NPI 1316918287
  Care Compare group
• Memorial Medical Center

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1568017481
  Care Compare group
• Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Springfield, IL
  • NPI 1679559553
  Care Compare group
• Crawford Hospital District

  • Urology Physician
  • Newton, IL
  • NPI 1265309405
  NPD

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

• Memorial Medical Center

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1255317590

  Hospital

  Care Compare affiliation
• St Johns Hospital of the Hospital Sisters of the Third Order of St F

  • General Acute Care Hospital
  • Springfield, IL
  • NPI 1205818481

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1124752779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 EDWARDS ST APT A",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341132",
            "telephone_number": "618-535-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N ALLEN ST",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "624541114",
            "telephone_number": "618-544-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "NATHAN",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209025391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookstone Estates of Robinson
• Brookstone Estates of Robinson, LLC
• Jody Carol Cannon, COTA/L
• Deborah Kay Carroll, LPTA
• Harriett Carroll, MA, CADC
• Tammi Lee Chapman, DPM
• Cher Lee Childress, MS, CCC-SLP
• CJB Anesthesia Services Inc
• Faron Clark
• Tara Claypool, PHARMD

• All providers in Robinson, IL
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.