Active NPI
Jason Kobler, CRNA
- Certified Registered Nurse Anesthetist
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209007642
- Practice address
- 1302 Franklin Ave
Normal, IL 61761-3551 - Phone
- (309) 268-5867
- NPI assigned
- Jun 9, 2009
- Last updated
- Dec 6, 2024
- Sex
- Male
- 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 | 209007642 | IL | Primary |
Addresses
Primary practice location
1302 Franklin Ave
Normal, IL 61761-3551
Mailing address
611 W Park St
Fapc
Urbana, IL 61801-2500
Other practice location 1
800 E Carpenter St
Springfield, IL 62702-5324
Phone (217) 544-6464 ext. 51935
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | IL | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkobler167101@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Medical Center of Illinois
Practice addresses (Care Compare)
107 Tremont St
Hoepdale, IL 61747-7525
Phone (309) 449-3321
221 NE Glen Oak Ave
Peoria, IL 61636-0001
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209007642 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hopedale Medical Foundation | Current | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
107 Tremont St
Hopedale, IL 61747
Phone (309) 343-1000
1302 Franklin Ave
Normal, IL 61761
Phone (309) 268-5867
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- jkoblercrna404061@carlehiedirect.net
Organizations & group practices 8
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
- Peoria, IL
- NPI 1558306480
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hopedale, IL
- NPI 1801033071
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
dba Methodist Anesthesia Services
- Anesthesiology Physician
- Peoria, IL
- NPI 1710198379
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hopedale Medical Complex
- Critical Access Hospital
- Hopedale, IL
- NPI 1174569438
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1669608394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 FRANKLIN AVE",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613551",
"telephone_number": "309-268-5867"
}
],
"practiceLocations": [
{
"address_1": "800 E Carpenter St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "IL",
"postal_code": "627025324",
"country_code": "US",
"telephone_number": "217-544-6464 x51935",
"fax_number": "217-544-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOBLER",
"first_name": "JASON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-09",
"last_updated": "2024-12-06",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209007642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PENDING",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkobler167101@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "800 E Carpenter St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627025324",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.