Active NPI
McKinley Marseille, APRN, CRNA
- Certified Registered Nurse Anesthetist
- Pontiac, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209025510
- Practice address
- 2500 W Reynolds St
Pontiac, IL 61764-9774 - Phone
- (815) 842-2828
- NPI assigned
- Sep 20, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28268295A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 209025510 | IL | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 28268295A | IN |
Addresses
Primary practice location
2500 W Reynolds St
Pontiac, IL 61764-9774
Mailing address
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828
Other practice location 1
8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mxmars18@smumn.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12 Salt Creek LN
Suite 425
Hinsdale, IL 60521-8603
Phone (630) 789-2260
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Redreef Anesthesia Associates Chartered Indiana LLC | Current | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bindal Anesthesiologists, LTD | Past | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
900 Rand Rd
Des Plaines, IL 60016
Phone (847) 324-9676
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
21120 Washington Pkwy
Frankfort, IL 60423
Phone (815) 469-9750
12 Salt Creek Ln
Ste 425
Hinsdale, IL 60521
Phone (630) 789-2260
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
10401 S Roberts Rd
Ste 2
Palos Hills, IL 60465
Phone (708) 430-1600
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
Organizations & group practices 13
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.
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Gary, IN
- NPI 1215783766
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1629475421
IN, Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dyer, IN
- NPI 1811077431
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1700556776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W REYNOLDS ST",
"city": "PONTIAC",
"state": "IL",
"postal_code": "617649774",
"telephone_number": "815-842-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 W REYNOLDS ST",
"city": "PONTIAC",
"state": "IL",
"postal_code": "617649774",
"telephone_number": "815-842-2828"
}
],
"practiceLocations": [
{
"address_1": "8701 Broadway",
"address_purpose": "LOCATION",
"city": "Merrillville",
"state": "IN",
"postal_code": "464107035",
"country_code": "US",
"telephone_number": "219-738-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSEILLE",
"first_name": "MCKINLEY",
"credential": "APRN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-20",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28268295A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209025510",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IN",
"license": "28268295A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mxmars18@smumn.edu",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8701 Broadway",
"city": "Merrillville",
"state": "IN",
"country_code": "US",
"postal_code": "464107035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pontiac, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.