Individual provider Active NPI

Maria L Vanbebber, CRNA

  • Certified Registered Nurse Anesthetist
  • Effingham, IL
National Provider Identifier
1528065596
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209000891 Issued in IL
Practice address
502 N Maple St
Effingham, IL 62401-2005
Phone
(217) 347-1586
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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 209000891 IL Primary

Addresses

Primary practice location

502 N Maple St
Effingham, IL 62401-2005

Mailing address

9250 Rhea Park Rd
Loami, IL 62661-3174
Phone (217) 414-4068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040730000791 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254324783 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carlinville Area Hospital Association CurrentSince Oct 1, 2022 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince May 12, 2022 Accepting new patients
Carlinville Area Hospital Association CurrentSince Dec 13, 2025 Accepting new patients
Carlinville Area Hospital Association CurrentSince Oct 1, 2022 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 25, 2017 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 25, 2017 Accepting new patients
MVB Anesthesia PLLC PastSince Nov 3, 2006 Accepting new patients
Sangamon Associated Anesthesiologists, S.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Marion Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

1800 E Lake Shore Dr
Decatur, IL 62521
Phone (217) 464-2729

503 N Maple St
Effingham, IL 62401
Phone (217) 342-2121

800 E Carpenter St
Rm 2334
Springfield, IL 62769
Phone (217) 525-5643

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/carlin-6115abf3

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1528065596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 RHEA PARK RD",
            "city": "LOAMI",
            "state": "IL",
            "postal_code": "626613174",
            "telephone_number": "217-414-4068",
            "fax_number": "217-624-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N MAPLE ST",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012005",
            "telephone_number": "217-347-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBEBBER",
        "first_name": "MARIA",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209000891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.