Active NPI
Patricia Isabel Calcetto, CRNA
- Certified Registered Nurse Anesthetist
- Mount Vernon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209016170
- Practice address
- 2 Good Samaritan Way
Mount Vernon, IL 62864-2408 - Phone
- (618) 899-3869
- NPI assigned
- Jul 17, 2017
- Last updated
- Jul 17, 2017
- 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 | 209016170 | IL | Primary |
Addresses
Primary practice location
2 Good Samaritan Way
Mount Vernon, IL 62864-2408
Mailing address
31 Webster Hill Est
Mount Vernon, IL 62864-2346
Phone (386) 986-0055
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.77 of 100
- Quality
- 85.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Southern Illinois Surgery Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Good Samaritan Regional Health Center | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients | |
| St. Mary's Hospital, Centralia, Illinois | Current | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 899-4000
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
Organizations & group practices 5
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
- Mount Vernon, IL
- NPI 1043757487
Nurse Anesthetist, Certified Registered
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
dba SSM Health St. Mary's Hospital - Centralia
- Anesthesiology Physician
- Centralia, IL
- NPI 1477097871
-
dba SSM Health St. Mary's Hospital - Centralia
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1831611334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 WEBSTER HILL EST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642346",
"telephone_number": "386-986-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GOOD SAMARITAN WAY",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642408",
"telephone_number": "618-899-3869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALCETTO",
"first_name": "PATRICIA",
"middle_name": "ISABEL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209016170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
- Patricia Claire Butler
- Byrd-Watson South 9TH Drug Co (Byrd-Watson Medical Downtown)
- Byrd-Watson Times Square Drug Co (Byrd-Watson Pharmacy LTC)
- Byrd-Watson Times Square Drug Co (Byrd-Watson Pharmacy)
- Thomas J. Cain, CRNA
- Hannah Capps, MHP
- Tiffany Capps, BSN, RN
- Caravilla Residential Centers, Inc (Mt Vernon Care Center)
- Caravilla Residential Centers, Inc (Casey Care Center)
- Caravilla Residential Centers, Inc (Jeffersonian Health Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.