Active NPI
Angelina Marie Thomas, CRNA
- Certified Registered Nurse Anesthetist
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2021034481
- Practice address
- 2300 N Edward St
Decatur, IL 62526-4163 - Phone
- (314) 876-2585
- NPI assigned
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 2021034481 | MO | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 020955 | IL |
Addresses
Primary practice location
2300 N Edward St
Decatur, IL 62526-4163
Mailing address
2652 Twin Oaks CT Apt 52
Decatur, IL 62526-5837
Phone (314) 323-6646
Other names 1
- Angelina Marie Taylor
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (636) 916-9000
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
- Barnes-Jewish St Peters Hospital
- Anderson Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020955 | IL | 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 |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Midwest Anesthesia Associates, P.C. | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients |
Locations
2 Memorial Dr
Alton, IL 62002
Phone (618) 462-0710
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
11125 Dunn Rd
Ste 100
Saint Louis, MO 63136
Phone (314) 355-5597
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
114 Piper Hill Dr
Ste 101
Saint Peters, MO 63376
Phone (636) 706-0560
100 Entrance Way
Saint Peters, MO 63376
Phone (363) 916-7140
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
Organizations & group practices 6
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
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
-
- Pain Medicine Physician
- Saint Louis, MO
- NPI 1558719617
-
- Certified Registered Nurse Anesthetist
- Springfield, IL
- NPI 1255393112
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1861028193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2652 TWIN OAKS CT APT 52",
"city": "DECATUR",
"state": "IL",
"postal_code": "625265837",
"telephone_number": "314-323-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N EDWARD ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264163",
"telephone_number": "314-876-2585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "ANGELINA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-18",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2021034481",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "020955",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINA",
"last_name": "TAYLOR",
"middle_name": "MARIE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.