Active NPI
Bart Allison Wetzel, CRNA
- Certified Registered Nurse Anesthetist
- Hillsboro, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209000238
- Practice address
- 1200 Tremont
Hillsboro, IL 62049 - Phone
- (217) 532-6111
- NPI assigned
- Jan 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209000238 | IL | Primary |
Addresses
Primary practice location
1200 Tremont
Hillsboro, IL 62049
Mailing address
PO Box 388
Newton, KS 67114-0388
Phone (316) 281-3700
Other practice location 1
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-2440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209000238 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starlight Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| Midwest Anesthesia Inc. | Past | Accepting new patients |
Locations
904 W Temple Ave
Effingham, IL 62401
Phone (217) 342-1234
1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
650 W Taylor St
Fl 2
Vandalia, IL 62471
Phone (217) 342-3400
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
- Certified Registered Nurse Anesthetist
- Hillsboro, IL
- NPI 1508214446
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1285717587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1821068875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "NEWTON",
"state": "KS",
"postal_code": "671140388",
"telephone_number": "316-281-3700",
"fax_number": "316-282-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 TREMONT",
"city": "HILLSBORO",
"state": "IL",
"postal_code": "62049",
"telephone_number": "217-532-6111"
}
],
"practiceLocations": [
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-258-2440",
"fax_number": "217-258-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETZEL",
"first_name": "BART",
"middle_name": "ALLISON",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2023-10-17",
"certification_date": "2023-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209000238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.