Active NPI
Brandon W. Ahlers, CRNA
- Certified Registered Nurse Anesthetist
- Eureka, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209.010483
- Practice address
- 101 S Major St
Eureka, IL 61530-1246 - Phone
- (309) 304-2004
- NPI assigned
- Jun 14, 2013
- Last updated
- Mar 28, 2024
- Sex
- Male
- 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 | 209.010483 | IL | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 Health Medical Group | Current | Accepting new patients | |
| Carle Eureka Hospital | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | 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
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
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
Organizations & group practices 5
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
dba Advocate Eureka Hospital
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate BroMenn Medical Center
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
dba Advocate Eureka Hospital
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1326487166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S MAJOR ST",
"city": "EUREKA",
"state": "IL",
"postal_code": "615301246",
"telephone_number": "309-304-2004"
}
],
"practiceLocations": [
{
"address_1": "8600 State Route 91 Ste 250",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "IL",
"postal_code": "616157831",
"country_code": "US",
"telephone_number": "309-692-5394",
"fax_number": "309-692-2538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHLERS",
"first_name": "BRANDON",
"middle_name": "W.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-14",
"last_updated": "2024-03-28",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209.010483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.