Active NPI
Nathan William Simmons, CRNA
- Certified Registered Nurse Anesthetist
- Hannibal, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2019016285
- Practice address
- 6000 Hospital Dr
Hannibal, MO 63401-6887 - Phone
- (573) 248-5100
- NPI assigned
- May 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209025066 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 2019016285 | MO | Primary |
Addresses
Primary practice location
6000 Hospital Dr
Hannibal, MO 63401-6887
Mailing address
631 Oakmont Dr
Warrensburg, MO 64093-2100
Other practice location 1
403 Burkarth Rd
Warrensburg, MO 64093-3101
Phone (660) 747-2500
Other practice location 2
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
1600 W Walnut
Jacksonville, IL 62650-1199
Phone (217) 245-9541
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Jacksonville Crnas Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Quincy, IL
- NPI 1255515342
-
- Certified Registered Nurse Anesthetist
- Jacksonville, IL
- NPI 1821302068
Nurse Anesthetist, Certified Registered
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Passavant Area Hospital
- Critical Access Hospital
- Jacksonville, IL
- NPI 1174580831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1740847326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 OAKMONT DR",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640932100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 HOSPITAL DR",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634016887",
"telephone_number": "573-248-5100"
}
],
"practiceLocations": [
{
"address_1": "403 Burkarth Rd",
"address_purpose": "LOCATION",
"city": "Warrensburg",
"state": "MO",
"postal_code": "640933101",
"country_code": "US",
"telephone_number": "660-747-2500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 Broadway St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "IL",
"postal_code": "623012834",
"country_code": "US",
"telephone_number": "217-223-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMMONS",
"first_name": "NATHAN",
"middle_name": "WILLIAM",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209025066",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2019016285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.