Active NPI
Mason Spitzner, CRNA
- Certified Registered Nurse Anesthetist
- Fairfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209029238
- Practice address
- 303 NW 11TH St
Fairfield, IL 62837-1206 - Phone
- (618) 842-2611
- NPI assigned
- Jan 26, 2024
- Last updated
- Jan 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 209029238 | IL | Primary |
Addresses
Primary practice location
303 NW 11TH St
Fairfield, IL 62837-1206
Mailing address
303 NW 11TH St
Fairfield, IL 62837-1206
Phone (618) 842-2611
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairfield Memorial Hospital Association
Practice addresses (Care Compare)
303 NW 11TH St
Fairfield, IL 62837-1203
Phone (618) 847-8346
800 E Locust St
Olney, IL 62450-2553
Phone (618) 395-7340
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients |
Locations
213 NW 10th St
Ste A
Fairfield, IL 62837
Phone (618) 842-4617
303 NW 11th St
Fairfield, IL 62837
Phone (618) 842-2611
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070
Interoperability endpoints
- https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- mason.spitzner.p2@direct.horizonhealthcare.nextgenshare.com
- mspitznercrna410175@carlehiedirect.net
Organizations & group practices 8
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.
-
dba Carle Richland Memorial Hospital
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
dba Horizon Healthcare
- Family Medicine Physician
- Fairfield, IL
- NPI 1649442419
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
dba Horizon Healthcare
- Rural Health Clinic/Center
- Fairfield, IL
- NPI 1295908853
-
dba Quincy Medical Group Barry Affiliate
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1164284972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 NW 11TH ST",
"city": "FAIRFIELD",
"state": "IL",
"postal_code": "628371206",
"telephone_number": "618-842-2611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 NW 11TH ST",
"city": "FAIRFIELD",
"state": "IL",
"postal_code": "628371206",
"telephone_number": "618-842-2611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZNER",
"first_name": "MASON",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209029238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, IL
- South Eastern Illinois Counseling Center Inc
- Southern Illinois Primary Care Associates, P.C.
- Southern Illinois Primary Care Associates, P.C.
- Southern Illinois Surgical Care Associates, P.C.
- Speech 4 Kids, P.C.
- Kayla R Stanley
- Paul B Stauder
- Dylan Wayne Stennett, NP
- Misty D Stone, APN FNP
- Elizabeth M Sweet-Friend, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.