Active NPI
Cody Brandes
- Certified Registered Nurse Anesthetist
- Champaign, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28252655A
- Practice address
- 2005 Moreland Blvd
Champaign, IL 61822-1426 - Phone
- (812) 907-0183
- NPI assigned
- Apr 19, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28252655A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 28252655A | IN | Primary |
Addresses
Primary practice location
2005 Moreland Blvd
Champaign, IL 61822-1426
Mailing address
2005 Moreland Blvd
Champaign, IL 61822-1426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
321 Mitchell Ave
Batesville, IN 47006-8909
Phone (812) 934-6624
500 John Deere Rd
Moline, IL 61265-6892
Phone (844) 937-1810
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28252655A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131
500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840
321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018
1900 Chester Blvd
Richmond, IN 47374
Phone (765) 962-2020
Organizations & group practices 3
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
- Galesburg, IL
- NPI 1316399967
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Batesville, IN
- NPI 1043276553
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- Critical Access Hospital
- Batesville, IN
- NPI 1558368449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1861288367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 MORELAND BLVD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 MORELAND BLVD",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221426",
"telephone_number": "812-907-0183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDES",
"first_name": "CODY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-04-19",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28252655A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28252655A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.