Active NPI
Melanie Garland, CRNA
- Certified Registered Nurse Anesthetist
- Maryville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 041303626
- Practice address
- 6810 State Route 162
Ste 215
Maryville, IL 62062-8501 - Phone
- (618) 288-5711
- NPI assigned
- Nov 10, 2006
- Last updated
- Aug 22, 2024
- Sex
- Female
- 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 | 041303626 | IL | Primary |
Addresses
Primary practice location
6810 State Route 162
Ste 215
Maryville, IL 62062-8501
Mailing address
1836 Lackland Hill Pkwy
Credentialing Department
Saint Louis, MO 63146-3572
Phone (314) 989-0300
Other practice location 1
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
Other names 1
- Melanie Wymann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041303626 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Millennium Anesthesiology Consultants, LLC | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients |
Locations
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f4be81d1-a15e-4e19-9601-5214010ddaac/
- https://fhir-usa.unify.chbase.com/org/jersey-f23a6357
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Maryville, IL
- NPI 1710218094
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1730033713
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
-
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1700423696
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1376614503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 LACKLAND HILL PKWY",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463572",
"telephone_number": "314-989-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6810 STATE ROUTE 162",
"address_2": "STE 215",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628501",
"telephone_number": "618-288-5711"
}
],
"practiceLocations": [
{
"address_1": "400 Maple Summit Rd",
"address_purpose": "LOCATION",
"city": "Jerseyville",
"state": "IL",
"postal_code": "620522028",
"country_code": "US",
"telephone_number": "618-498-6402",
"fax_number": "618-498-8413",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARLAND",
"first_name": "MELANIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041303626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "WYMANN",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Maryville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.