Individual provider Active NPI

Shara A. Phifer-Anderson, CRNA

  • Certified Registered Nurse Anesthetist
  • Urbana, IL
National Provider Identifier
1447442173
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209006693 Issued in IL
Practice address
611 W Park St
Urbana, IL 61801-2529
Phone
(217) 383-3303
Fax
(217) 383-3265
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 209006693 IL Primary

Addresses

Primary practice location

611 W Park St
Urbana, IL 61801-2529

Mailing address

611 W Park St
Urbana, IL 61801-2501
Phone (217) 383-3311

Other names 1

  • Mrs. Shara A. Anderson Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080308000021 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002991536 Reassigns benefits to 5 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
Anesthesia Pain Services LLCGroup PAC ID 6507930526, 28 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1008 N Main St
Bloomington, IL 61701-1784
Phone (309) 829-5311

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209006693ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Pain Services LLC CurrentSince Jul 20, 2023 Accepting new patients
Carle Health Care Incorporated CurrentSince Mar 28, 2022 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Carle West Physician Group Inc CurrentSince Oct 9, 2025 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jul 31, 2025 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Mar 28, 2022 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Mar 28, 2022 Accepting new patients

Locations

1505 Eastland Dr
Ste 180
Bloomington, IL 61701
Phone (309) 661-2500

1505 Eastland Dr
Ste LL1400
Bloomington, IL 61701
Phone 3096634700 ext. 201

1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

1505 Eastland Dr
Ste 1400
Bloomington, IL 61701
Phone (309) 533-7455

1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

646 W Pershing Rd
Decatur, IL 62526
Phone (217) 875-0300

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

2100 Fort Jesse Rd
Normal, IL 61761
Phone (309) 531-6131

111 Spring St
Streator, IL 61364
Phone (815) 672-4587

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1447442173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012501",
            "telephone_number": "217-383-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W PARK ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618012529",
            "telephone_number": "217-383-3303",
            "fax_number": "217-383-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIFER-ANDERSON",
        "first_name": "SHARA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209006693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARA",
            "last_name": "ANDERSON",
            "middle_name": "A.",
            "prefix": "MRS.",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.