Active NPI
Karen Roof, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209021852
- Practice address
- 800 E Carpenter St
Springfield, IL 62769-2329 - Phone
- (217) 544-6464
- Fax
- (217) 757-6537
- NPI assigned
- Mar 20, 2014
- Last updated
- Aug 25, 2020
- 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 | 209021852 | IL | Primary |
Addresses
Primary practice location
800 E Carpenter St
Springfield, IL 62769-2329
Mailing address
800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464
Other practice location 1
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2014012665 | Other | MO | NURSE ANESTHETIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-5511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021852 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-America Anesthesia Consultants, PC | Current | Accepting new patients | |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southeast Missouri Hospital Physicians, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1600 E Broadway
Ste 60
Columbia, MO 65201
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
100 Entrance Way
Saint Peters, MO 63376
Phone (363) 916-7140
114 Piper Hill Dr
Ste 101
Saint Peters, MO 63376
Phone (636) 706-0560
Organizations & group practices 3
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
- Columbia, MO
- NPI 1083728463
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
dba Mercy Clinic Southeast
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Boone Hospital Center
- Cardiac Rehabilitation Clinic/Center
- Columbia, MO
- NPI 1548734734
Hospital
-
dba Boone Hospital Center
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1396162947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627691000",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627692329",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6537"
}
],
"practiceLocations": [
{
"address_1": "3015 N Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312329",
"country_code": "US",
"telephone_number": "314-996-5330",
"fax_number": "314-997-0384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROOF",
"first_name": "KAREN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-20",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209021852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE ANESTHETIST LICENSE",
"identifier": "2014012665",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.