Active NPI
Angela Ailys McMillian, CRNA
- Certified Registered Nurse Anesthetist
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209026806
- Practice address
- 1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099 - Phone
- (618) 234-2120
- NPI assigned
- Sep 15, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 115178 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 2017002703 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 209026806 | IL | Primary |
Addresses
Primary practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Mailing address
12 Goshen Woods Est
Edwardsville, IL 62025-3007
Phone (314) 598-6332
Other practice location 1
11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5000
Other practice location 2
1 Barnes Jewish Hospital Plz Dept Of
Saint Louis, MO 63110-1003
Phone (800) 862-9980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 747-3000
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115178 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients |
Locations
2 Memorial Dr
Alton, IL 62002
Phone (618) 462-0710
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1 Barnes Jewish Hospital Plz
#P
Saint Louis, MO 63110
Phone (618) 474-1074
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
4960 Childrens Pl
Fl 2
Saint Louis, MO 63110
Phone (314) 362-1520
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1528005642
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1962442475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1851849129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 GOSHEN WOODS EST",
"city": "EDWARDSVILLE",
"state": "IL",
"postal_code": "620253007",
"telephone_number": "314-598-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT ELIZABETH BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691099",
"telephone_number": "618-234-2120"
}
],
"practiceLocations": [
{
"address_1": "11133 Dunn Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631366163",
"country_code": "US",
"telephone_number": "314-653-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Barnes Jewish Hospital Plz Dept Of",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631101003",
"country_code": "US",
"telephone_number": "800-862-9980",
"fax_number": "314-362-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCMILLIAN",
"first_name": "ANGELA",
"middle_name": "AILYS",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "115178",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2017002703",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209026806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.