Individual provider Active NPI

Martina Renee Steed, CRNA

  • Certified Registered Nurse Anesthetist
  • Collinsville, IL
National Provider Identifier
1639213820
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
041-285897 Issued in IL
Practice address
11 Jennifer LN
Collinsville, IL 62234-6964
Phone
(618) 632-2082
NPI assigned
Feb 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041-285897 IL Primary
Certified Registered Nurse Anesthetist 367500000X 123186 MO

Addresses

Primary practice location

11 Jennifer LN
Collinsville, IL 62234-6964

Mailing address

11 Jennifer LN
Collinsville, IL 62234-6964
Phone (618) 632-2082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040419001610 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183619075 Reassigns benefits to 3 organizations
I20050419001239 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183619075 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041-285897ILMDCertified Registered Nurse Anesthetist
123186MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Southern Illinois Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2023 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Mar 16, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Mar 16, 2024 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
Anesthesia Partners, LTD. Past Accepting new patients
Novamed Eye Surgery Center of North County, LLC Past Accepting new patients
Salem Township Hospital Past Accepting new patients
Gateway Anesthesia Nurse Anesthetist, Certified Registered Past Accepting new patients
Specialists in Anesthesia PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Joseph a Bendet Anesthesia LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

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

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

2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639213820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 JENNIFER LN",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346964",
            "telephone_number": "618-632-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 JENNIFER LN",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622346964",
            "telephone_number": "618-632-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEED",
        "first_name": "MARTINA",
        "middle_name": "RENEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041-285897",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "123186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.