Active NPI
Stuart Mitchell Godwin, CRNA
- Certified Registered Nurse Anesthetist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209024392
- Practice address
- 7309 N Knoxville Ave
Peoria, IL 61614-2085 - Phone
- (217) 528-7541
- NPI assigned
- Feb 3, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 60330629 | WA | |
| Certified Registered Nurse Anesthetist | 367500000X | 209024392 | IL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 700881 | TX |
Addresses
Primary practice location
7309 N Knoxville Ave
Peoria, IL 61614-2085
Mailing address
PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-3500
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
407 S White St
Henry County Health Center
Mount Pleasant, IA 52641-2263
Phone (319) 385-3141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 700881 | TX | MD | Certified Registered Nurse Anesthetist |
| 60330629 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Southeast Iowa Regional Medical Center, Inc. | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Southwestern Physician Services LLC | Past | Accepting new patients | |
| Northstar Anesthesia of Oklahoma, PLLC | Past | Accepting new patients |
Locations
407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110
1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
Interoperability endpoints
- sgodwin1200603@direct.unitypoint.org
- stuart.godwin.1@28977.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
- Certified Registered Nurse Anesthetist
- Fort Madison, IA
- NPI 1649143157
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1780638478
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1154908929
-
dba Quincy Medical Group
- Rural Health Clinic/Center
- Winchester, IL
- NPI 1114105749
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043516628
-
- Anesthesiology Physician
- Lawton, OK
- NPI 1083640601
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Osf Holy Family Medical Center
- Critical Access Hospital
- Monmouth, IL
- NPI 1548393184
-
dba Osf Saint Luke Medical Center
- Critical Access Hospital
- Kewanee, IL
- NPI 1871919381
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
-
dba Southeast Iowa Regional Medical Center
- General Acute Care Hospital
- West Burlington, IA
- NPI 1134168263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1336471267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19248",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949248",
"telephone_number": "217-528-7541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7309 N KNOXVILLE AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142085",
"telephone_number": "217-528-7541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GODWIN",
"first_name": "STUART",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-03",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "60330629",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209024392",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "700881",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.