Active NPI
Amanda Marie McCurdy, CRNA
- Certified Registered Nurse Anesthetist
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209013586
- Practice address
- 545 Valley View Dr
Moline, IL 61265-6138 - Phone
- (309) 762-5560
- NPI assigned
- Feb 26, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 121881 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 209013586 | IL | Primary |
Addresses
Primary practice location
545 Valley View Dr
Moline, IL 61265-6138
Mailing address
320 Swank St
Galva, IL 61434-8952
Phone (309) 883-0944
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1007
Phone (319) 356-1616
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
530 Neglen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000
6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393
Hospital & facility affiliations
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121881 | IA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Moline Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Osf Healthcare System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Past | Accepting new patients |
Locations
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Moline, IL
- NPI 1134683758
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1912229253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SWANK ST",
"city": "GALVA",
"state": "IL",
"postal_code": "614348952",
"telephone_number": "309-883-0944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421007",
"country_code": "US",
"telephone_number": "319-356-1616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCURDY",
"first_name": "AMANDA",
"middle_name": "MARIE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IA",
"license": "121881",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209013586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.