Active NPI
Rick Corbett, CRNA
- Certified Registered Nurse Anesthetist
- Granite City, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28184077A
- Practice address
- 2100 Madison Ave
Granite City, IL 62040-4701 - Phone
- (618) 343-0048
- Fax
- (618) 343-0048
- NPI assigned
- Dec 14, 2005
- Last updated
- Dec 21, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209002579 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28184077A | IN | Primary |
Addresses
Primary practice location
2100 Madison Ave
Granite City, IL 62040-4701
Mailing address
500 Andra Dr
Maryville, IL 62062-5796
Phone (618) 343-0048
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200938570 | Medicaid | IN | |
| 000000946369 | Other | IN | ANTHEM PROVIDER NUMBER |
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, 1997
- 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209002579 | IL | MD | Certified Registered Nurse Anesthetist |
| 28184077A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Regional Health Center | 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 | |
| Granite City Clinic Corp | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Hannibal Regional Healthcare System Inc | Past | Accepting new patients | |
| Premier Anesthesia of Danville | Past | Accepting new patients | |
| St Louis University | Past | Accepting new patients | |
| Mercy Hospital Jefferson | Past | Accepting new patients | |
| Granite City Physicians Corp | Past | Accepting new patients | |
| DM Anesthetists of Il, LLC | Past | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Past | Accepting new patients | |
| Brigham Anesthesia South LLC | Past | Accepting new patients | |
| North Platte Nebraska Physician Group LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Allied Anesthesia Associates, P.C. | Past | Accepting new patients | |
| Figueroa and Associates Anesthesia Group, LTD. | Past | 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
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 16
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.
-
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 Good Samaritan Hospital - Mt. Vernon
- Anesthesiology Physician
- Mount Vernon, IL
- NPI 1194269597
-
dba SSM Health St. Mary's Hospital - Centralia
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- Anesthesiology Physician
- Carbondale, IL
- NPI 1699769232
-
- Registered Nurse
- Belleville, IL
- NPI 1629020854
-
- Specialist
- Alton, IL
- NPI 1831198357
-
dba Granite City Anesthesia
- Certified Registered Nurse Anesthetist
- Granite City, IL
- NPI 1003892464
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Granite City, IL
- NPI 1508983214
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Danville, IL
- NPI 1366517583
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": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1902881733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 ANDRA DR",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620625796",
"telephone_number": "618-343-0048",
"fax_number": "618-343-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 MADISON AVE",
"city": "GRANITE CITY",
"state": "IL",
"postal_code": "620404701",
"telephone_number": "618-343-0048",
"fax_number": "618-343-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "RICK",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209002579",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28184077A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200938570",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000946369",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granite City, IL
- Clarkson Optometry Illinois, P.C. (Clarkson Eyecare)
- Elizabeth Cline
- Clinical Counseling Associates, Inc (Clinical Counseling Associates)
- Stephen Conway
- Coordinated Youth and Human Services
- Crisale Cosas, MD
- Reegan Countryman
- County of Madison Granite City Com Unit SCH Dist 9
- Sabryn Cox
- Dewanda Crochrell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.