Active NPI
Vonda K Walker, CRNA
- Certified Registered Nurse Anesthetist
- Sparta, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209003936
- Practice address
- 818 E Broadway St
Sparta, IL 62286-1820 - Phone
- (618) 443-2177
- NPI assigned
- Sep 26, 2006
- Last updated
- Feb 12, 2021
- Sex
- Female
- 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 | 209003936 | IL | Primary |
Addresses
Primary practice location
818 E Broadway St
Sparta, IL 62286-1820
Mailing address
2 Good Samaritan Way Ste 205
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
Other practice location 1
4500 Memorial Drive
Belleville, IL 62223
Phone (618) 257-4076
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-3831
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Midwest Anesthesia Inc. | Past | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
325 Spring St
Redbud, IL 62278
Phone (618) 282-5165
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1285717587
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Crossroads Community Hospital
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1679674857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GOOD SAMARITAN WAY STE 205",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642476",
"telephone_number": "618-899-3869",
"fax_number": "618-899-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 E BROADWAY ST",
"city": "SPARTA",
"state": "IL",
"postal_code": "622861820",
"telephone_number": "618-443-2177"
}
],
"practiceLocations": [
{
"address_1": "4500 Memorial Drive",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "62223",
"country_code": "US",
"telephone_number": "618-257-4076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "VONDA",
"middle_name": "K",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209003936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.