NPIMap

Individual provider Active NPI

Natalie Jones Illg, CRNA

  • Certified Registered Nurse Anesthetist
  • Marrero, LA
National Provider Identifier
1346405875
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP05534 Issued in LA
Practice address
1111Medical Center Blvd.
Suite S-450
Marrero, LA 70072
Phone
(504) 349-6401
Fax
(504) 349-6444
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN107301 LA
Certified Registered Nurse Anesthetist 367500000X AP05534 LA Primary

Addresses

Primary practice location

1111Medical Center Blvd.
Suite S-450
Marrero, LA 70072

Mailing address

633 Aris Avenue
Metairie, LA 70005

Other practice location 1

1415 Tulane Ave
Anesthesia Department, HC-71
New Orleans, LA 70112-2600
Phone (504) 988-5903

Other identifiers 1

IdentifierTypeStateIssuer
1361089MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081111000625 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133288780 Reassigns benefits to 3 organizations
I20200713000836 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133288780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Anesthesia PLLCGroup PAC ID 9436521168, 20 clinicians
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians
Etas PLLCGroup PAC ID 8123481934, 43 clinicians

Practice addresses (Care Compare)

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 284-2389

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN107301LAMDRegistered Nurse
AP05534LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Jun 15, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Oct 11, 2019 Accepting new patients
Best Anesthesia, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Etas, PLLC CurrentSince Oct 10, 2023 Accepting new patients
Ochsner Clinic LLC CurrentSince May 23, 2019 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jun 1, 2020 Accepting new patients
Magnolia State Anesthesia Services, PLLC CurrentSince Dec 7, 2023 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Oct 11, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince May 23, 2019 Accepting new patients
Tuhc Anesthesiology Group LLC Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1111 Medical Center Blvd
Ste S460
Marrero, LA 70072
Phone (504) 265-9582

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S450
Marrero, LA 70072
Phone (504) 349-6401

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

2820 Napoleon Ave
Ste 700
New Orleans, LA 70115
Phone (504) 412-1310

1415 Tulane Ave
#71
New Orleans, LA 70112
Phone (504) 988-5881

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1514 Jefferson Hwy
New Orleans, LA 70121

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817

4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1346405875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 ARIS AVENUE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111MEDICAL CENTER BLVD.",
            "address_2": "SUITE S-450",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-6401",
            "fax_number": "504-349-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Tulane Ave",
            "address_2": "Anesthesia Department, HC-71",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122600",
            "country_code": "US",
            "telephone_number": "504-988-5903",
            "fax_number": "504-988-1941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ILLG",
        "first_name": "NATALIE",
        "middle_name": "JONES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN107301",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP05534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1361089",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.

Verify at the official NPI Registry.