Individual provider Active NPI

Carol Ann Slazinik, CRNA

  • Certified Registered Nurse Anesthetist
  • Troy, IL
National Provider Identifier
1194056093
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2005023282 Issued in MO
Practice address
8634 Blackjack Hollow LN
Troy, IL 62294
Phone
(186) 789-0766
NPI assigned
Jan 18, 2010
Last updated
Aug 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2005023282 MO Primary

Addresses

Primary practice location

8634 Blackjack Hollow LN
Troy, IL 62294

Mailing address

8634 Blackjack Hollows LN
Troy, IL 62294-2550
Phone (618) 789-0766

Other identifiers 1

IdentifierTypeStateIssuer
1194056093OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100628000476 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416088919 Reassigns benefits to 4 organizations
I20160630000681 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416088919 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Illinois, LLCGroup PAC ID 4688893878, 404 clinicians
Carlinville Area Hospital AssociationGroup PAC ID 9032021373, shared by 6 NPIs, 25 clinicians

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

20733 N Broad St
Carlinville, IL 62626-3710
Phone (217) 854-3141

2900 Broadway St
Mount Vernon, IL 62864-2341
Phone (618) 244-2777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
2005023282MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2021 Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Anesthesia of Southern Illinois LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2021 Accepting new patients
Dreamland Uap Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2020 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2016 Accepting new patients
CPR Anesthesia, Inc Nurse Anesthetist, Certified Registered CurrentSince Dec 10, 2020 Accepting new patients
Carlinville Area Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Carlinville Area Hospital Association CurrentSince Jun 1, 2025 Accepting new patients
Novamed Eye Surgery Center of North County, LLC Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2 Memorial Dr
Alton, IL 62002
Phone (618) 259-5096

2810 Frank Scott Pkwy W
Ste 716
Belleville, IL 62223
Phone (618) 355-0880

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

114 W Rockland Rd
Libertyville, IL 60048
Phone (773) 267-0554

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

100 Village Sq
Hazelwood, MO 63042
Phone (314) 355-4010

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

Organizations & group practices 12

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1194056093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8634 BLACKJACK HOLLOWS LN",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622942550",
            "telephone_number": "618-789-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8634 BLACKJACK HOLLOW LN",
            "city": "TROY",
            "state": "IL",
            "postal_code": "62294",
            "telephone_number": "186-789-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAZINIK",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2005023282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194056093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.