Individual provider Active NPI

Brenda G Morrison, CRNA RN

  • Certified Registered Nurse Anesthetist
  • Galesburg, IL
National Provider Identifier
1255327847
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209001409 Issued in IL
Practice address
695 N Kellogg St
Galesburg, IL 61401-2807
Phone
(309) 343-8131
NPI assigned
Sep 20, 2005
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209001409 IL Primary
Registered Nurse 163W00000X 041207135 IL

Addresses

Primary practice location

695 N Kellogg St
Galesburg, IL 61401-2807

Mailing address

1224 N Main St
Monmouth, IL 61462-1211
Phone (309) 299-8861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040911000112 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658348511 Reassigns benefits to 3 organizations
I20200324001606 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658348511 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041207135ILMDRegistered Nurse
209001409ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
McDonough County Hospital District Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
McDonough County Hospital District CurrentSince Jan 10, 2020 Accepting new patients
Apollo Anesthesia and Pain Management, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2024 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2016 Accepting new patients
McDonough County Hospital District Current Accepting new patients
Unity Healthcare Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Current Accepting new patients
McDonough County Hospital District Nurse Anesthetist, Certified Registered CurrentSince Jan 10, 2020 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2016 Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-0557

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

520 Valley View Dr
Ste 300
Moline, IL 61265
Phone (309) 762-1952

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: bmorrison726582@direct.unitypoint.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1255327847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 N MAIN ST",
            "city": "MONMOUTH",
            "state": "IL",
            "postal_code": "614621211",
            "telephone_number": "309-299-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N KELLOGG ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012807",
            "telephone_number": "309-343-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "BRENDA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "CRNA RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209001409",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041207135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.