Active NPI
Betty Sagovac, CRNA
- Certified Registered Nurse Anesthetist
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209023507
- Practice address
- 611 W Park St
Urbana, IL 61801-2529 - Phone
- (217) 383-3303
- Fax
- (217) 383-3265
- NPI assigned
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 209023507 | IL | Primary |
Addresses
Primary practice location
611 W Park St
Urbana, IL 61801-2529
Mailing address
303 NW 11TH St
Fairfield, IL 62837-1206
Phone (618) 842-2611
Other practice location 1
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210812002677 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 3779987748 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 W Deyoung St
Suite 62959
Marion, IL 62959-5884
Phone (618) 998-7000
Hospital & facility affiliations
- Fairfield Memorial Hospital 1
- Deaconess Illinois Crossroads
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Fairfield Memorial Hospital Association | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | 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
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/11356/brand/1/csg/161/fhir/r4
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
IL, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- Rural Health Clinic/Center
- Fairfield, IL
- NPI 1295908853
-
- Medical-Surgical Registered Nurse
- Hoopeston, IL
- NPI 1457422164
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
Hospital
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1225600554",
"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": "611 W PARK ST",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-3303",
"fax_number": "217-383-3265"
}
],
"practiceLocations": [
{
"address_1": "303 NW 11th St",
"address_purpose": "LOCATION",
"city": "Fairfield",
"state": "IL",
"postal_code": "628371206",
"country_code": "US",
"telephone_number": "618-842-2611",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAGOVAC",
"first_name": "BETTY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209023507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.