Individual provider Active NPI

Emily Ann Dix, CRNA

  • Certified Registered Nurse Anesthetist
  • Alton, IL
National Provider Identifier
1407026867
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209.006979 Issued in IL
Practice address
50 S Fairmount Dr
Alton, IL 62002-3218
Phone
(314) 707-4120
NPI assigned
Mar 1, 2008
Last updated
May 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209.006979 IL Primary

Addresses

Primary practice location

50 S Fairmount Dr
Alton, IL 62002-3218

Mailing address

50 S Fairmount Dr
Alton, IL 62002-3218
Phone (314) 707-4120

Other practice location 1

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-8420

Other names 1

  • Emily Ann Rapp Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080404000865 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668559303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Anesthesia Providers SCGroup PAC ID 9830480581, 180 clinicians
Jersey Community HospitalGroup PAC ID 4587650445, 62 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7311

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5000

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209006797ILMDFamily Nurse Practitioner
209.006979ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Community Hospital District CurrentSince Feb 1, 2022 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2016 Accepting new patients
Jersey Community Hospital CurrentSince Feb 1, 2022 Accepting new patients
Jersey Community Hospital Current Accepting new patients
Ahp of Illinois, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Saint Anthony's Physician Group Past Accepting new patients
Figueroa and Associates Anesthesia Group, LTD. Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2 Memorial Dr
Alton, IL 62002
Phone (618) 259-5096

4700 Memorial Dr
Ste 230
Belleville, IL 62226
Phone (618) 257-5902

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

1431 Centerpoint Blvd
Ste 100
Knoxville, TN 37932
Phone (865) 539-8000

Organizations & group practices 7

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1407026867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S FAIRMOUNT DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023218",
            "telephone_number": "314-707-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S FAIRMOUNT DR",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023218",
            "telephone_number": "314-707-4120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Maple Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522028",
            "country_code": "US",
            "telephone_number": "618-498-8420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIX",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209.006979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "RAPP",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.