Individual provider Active NPI

Emily A Warner, CRNA

  • Certified Registered Nurse Anesthetist
  • Bloomington, IL
National Provider Identifier
1669805313
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209010546 Issued in IL
Practice address
1505 Eastland Dr
Suite Ll1000
Bloomington, IL 61701-3534
Phone
(309) 663-4700
Fax
(309) 665-0575
NPI assigned
Aug 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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 209010546 IL Primary

Addresses

Primary practice location

1505 Eastland Dr
Suite Ll1000
Bloomington, IL 61701-3534

Mailing address

1505 Eastland Dr
Suite Ll1000
Bloomington, IL 61701-3534
Phone (309) 663-4700

Other names 1

  • Emily A Heredia Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203000481 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1658507348 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Pain Services LLCGroup PAC ID 6507930526, 28 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians

Practice addresses (Care Compare)

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

2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hoopeston Community Memorial Hospital CurrentSince Jun 17, 2019 Accepting new patients
Anesthesia Pain Services LLC CurrentSince Jul 3, 2023 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Aug 22, 2020 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jun 17, 2019 Accepting new patients
Carle Health Care Incorporated CurrentSince Jun 17, 2019 Accepting new patients

Locations

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

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

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

2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311

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

1505 Eastland Dr
Ste LL1000
Bloomington, IL 61701
Phone (309) 655-3440

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

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

Organizations & group practices 5

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 1

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1669805313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE LL1000",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-663-4700",
            "fax_number": "309-665-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 EASTLAND DR",
            "address_2": "SUITE LL1000",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013534",
            "telephone_number": "309-663-4700",
            "fax_number": "309-665-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "EMILY",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209010546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HEREDIA",
            "middle_name": "A",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.