Individual provider Active NPI

Carolyn Sutter, CRNA

  • Certified Registered Nurse Anesthetist
  • Rock Island, IL
National Provider Identifier
1922084789
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209004380 Issued in IL
Practice address
2701 17TH St
Rock Island, IL 61201-5351
Phone
(309) 779-5000
Fax
(309) 779-5485
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 041216297 IL
Certified Registered Nurse Anesthetist 367500000X 209004380 IL Primary

Addresses

Primary practice location

2701 17TH St
Rock Island, IL 61201-5351

Mailing address

2209 Altoona Rd
Bloomington, IL 61705-4133
Phone (309) 825-5566

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address csutter234852@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040526000353 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537140504 Reassigns benefits to 4 organizations
I20200315000052 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 9537140504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

  • Carle Foundation Hospital Hospital, Urbana, IL, CCN 140091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041216297ILMDCertified Registered Nurse Anesthetist
209004380ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Kansas PA Nurse Anesthetist, Certified Registered CurrentSince Feb 3, 2020 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Jul 25, 2023 Accepting new patients
Gottlieb Community Health Services Corporation CurrentSince Jul 25, 2023 Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Mar 8, 2024 Accepting new patients
Encore Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2023 Accepting new patients
Associated Anesthesiologists, SC CurrentSince Mar 8, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Nov 5, 2024 Accepting new patients
Guardian Headache & Pain Management Institute LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Premier Anesthesia of Danville Past Accepting new patients
McLean County Anesthesiology, LTD. Past Accepting new patients
Central Illinois Anesthesiology Associates, LTD Past Accepting new patients

Locations

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

3231 Euclid Ave
Ste 407
Berwyn, IL 60402
Phone (708) 783-7430

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

125 N La Grange Rd
La Grange, IL 60525
Phone (708) 354-4900

701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

8600 State Route 91
Ste 250
Peoria, IL 61615
Phone (309) 692-5393

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

Interoperability endpoints

  • Direct secure messaging: csuttercrna430038@carlehiedirect.net
  • Direct secure messaging: csutter893534@direct.unitypoint.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1922084789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 ALTOONA RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617054133",
            "telephone_number": "309-825-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 17TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015351",
            "telephone_number": "309-779-5000",
            "fax_number": "309-779-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "CAROLYN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041216297",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209004380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csutter234852@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 Fort Jesse Rd",
            "address_2": "Suite 240",
            "city": "Normal",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617616286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; 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.

Verify at the official NPI Registry.