NPIMap

Brian M Hill, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Saint Louis, MO

NPI 1194746669 · NPPES record last updated Apr 24, 2013

Key facts

NPI
1194746669
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
152386 (MO)
Practice address
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone
(314) 251-9543
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 24

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.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlinville Area Hospital Association (25 clinicians)
Jersey Community Hospital (62 clinicians)
Millennium Anesthesiology Consultants, LLC (17 clinicians)

Practice addresses (Care Compare)

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

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711

Hospital & facility affiliations

  • Jersey Community Hospital Hospital · Jerseyville, IL · CCN 140059
  • Carlinville Area Hospital Hospital · Carlinville, IL · CCN 141347
  • Anderson Hospital Hospital · Maryville, IL · CCN 140289

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100 (apm)
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IL, MO

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050824000892 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204867716 Reassigns benefits to 6 organizations
I20071011000056 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204867716 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
152386MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamland Uap Anesthesia, LLC Nurse Anesthetist, Certified Registered Current
since Feb 16, 2015		 Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Midwest Anesthesia Associates, P.C. Current
since May 1, 2023		 Accepting new patients
Millennium Anesthesiology Consultants, LLC Current
since Sep 10, 2017		 Accepting new patients
Jersey Community Hospital Current
since Dec 1, 2020		 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered Current
since May 1, 2023		 Accepting new patients
Jersey Community Hospital Current
since Dec 1, 2020		 Accepting new patients
Jersey Community Hospital Current Accepting new patients
Carlinville Area Hospital Association Current Accepting new patients
Carlinville Area Hospital Association Current
since Sep 15, 2025		 Accepting new patients
Piasa Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Obstetrical Anesthesia Associates Inc. Past Accepting new patients
Jersey Community Hospital Past Accepting new patients
Mason Ridge Ambulatory Surgery Center LP Past Accepting new patients
Carlinville Area Hospital Association Past Accepting new patients

Locations

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

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

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

400 Maple Summit Rd
Ste 200
Jerseyville, IL 62052
Phone (618) 498-3612

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f4be81d1-a15e-4e19-9601-5214010ddaac/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/jersey-f23a6357
  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 152386 MO Yes

Addresses

Primary practice location

615 S New Ballas Rd
Saint Louis, MO 63141-8221

Mailing address

1066 Executive Parkway Dr
Suite 205
Saint Louis, MO 63141-6340
Phone (314) 469-6800

Other identifiers

IdentifierTypeStateIssuer
1194746669MedicaidMO

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2013.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1194746669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416340",
            "telephone_number": "314-469-6800",
            "fax_number": "314-469-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418221",
            "telephone_number": "314-251-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "152386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194746669",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

All providers in Saint Louis, MO · Certified Registered Nurse Anesthetist in Missouri

Sources for this page

Verify at the official NPI Registry.