Brandon W. Ahlers, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Eureka, IL
NPI 1326487166 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1326487166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209.010483 (IL)
- Practice address
- 101 S Major St
Eureka, IL 61530-1246 - Phone
- (309) 304-2004
- NPI assigned
- Jun 14, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carle West Physician Group Inc
Carle Health Care Incorporated
Practice addresses (Care Compare)
2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
- Carle Bromenn Medical Center
- Carle Eureka Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130729000609 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658512991 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.010483 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle West Physician Group Inc | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current |
Accepting new patients | |
| Carle Eureka Hospital | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Past |
Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
101 S Major St
Eureka, IL 61530
Phone (309) 268-2172
107 Tremont St
Hopedale, IL 61747
Phone (309) 343-1000
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
8600 State Route 91
Ste 250
Peoria, IL 61615
Phone (309) 692-5393
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209.010483 | IL | Yes |
Addresses
Primary practice location
101 S Major St
Eureka, IL 61530-1246
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Other practice location 1
8600 State Route 91 Ste 250
Peoria, IL 61615-7831
Phone (309) 692-5394
Other providers in Eureka, IL
- Advocate Health and Hospitals Corp.
- Apostolic Christian Home of Eureka
- Association for the Developmentally Disabled of Woodford County
- Sheri J Baker
- Balanced
- Ashley Bauman
All providers in Eureka, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.