Active NPI
Harolyn G Maxwell, CRNA
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209009466
- Practice address
- 800 E Carpenter St
Springfield, IL 62769-2500 - Phone
- (217) 544-6464
- NPI assigned
- Mar 30, 2012
- 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 | 209009466 | IL | Primary |
Addresses
Primary practice location
800 E Carpenter St
Springfield, IL 62769-2500
Mailing address
3725 Bluff Spring Dr
Saint Charles, MO 63303-6687
Phone (618) 567-5973
Other practice location 1
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-8420
Other practice location 2
611 W Park St
Anesthesiology
Urbana, IL 61801
Phone (217) 383-3303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1055 Bowles Ave
Suite 100
Fenton, MO 63026-2308
Phone (636) 203-9700
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209009466 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Anesthesiology Consultants, LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Current | Accepting new patients | |
| Jersey Community Hospital | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
1055 Bowles Ave
Ste 100
Fenton, MO 63026
Phone (636) 203-9700
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f4be81d1-a15e-4e19-9601-5214010ddaac/
- https://fhir-usa.unify.chbase.com/org/jersey-f23a6357
Organizations & group practices 7
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
- Maryville, IL
- NPI 1710218094
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
- Personal Emergency Response Attendant
- Jerseyville, IL
- NPI 1780609925
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
dba JCH Medical Group - Jerseyville II
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1659750818
-
- Rural Health Clinic/Center
- Jerseyville, IL
- NPI 1700423696
-
- General Acute Care Hospital
- Jerseyville, IL
- NPI 1184630519
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1801162151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3725 BLUFF SPRING DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633036687",
"telephone_number": "618-567-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627692500",
"telephone_number": "217-544-6464"
}
],
"practiceLocations": [
{
"address_1": "400 Maple Summit Rd",
"address_purpose": "LOCATION",
"city": "Jerseyville",
"state": "IL",
"postal_code": "620522028",
"country_code": "US",
"telephone_number": "618-498-8420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 W Park St",
"address_2": "Anesthesiology",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "61801",
"country_code": "US",
"telephone_number": "217-383-3303",
"fax_number": "217-383-3265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAXWELL",
"first_name": "HAROLYN",
"middle_name": "G",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-30",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209009466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.