Active NPI
Carolyn Sutter, CRNA
- Certified Registered Nurse Anesthetist
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209004380
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | csutter234852@direct.luhs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, KS
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041216297 | IL | MD | Certified Registered Nurse Anesthetist |
| 209004380 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Kansas PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Gottlieb Community Health Services Corporation | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Encore Anesthesia Group LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | 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
- csuttercrna430038@carlehiedirect.net
- 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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Anesthesiology Physician
- Galesburg, IL
- NPI 1316399967
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1558987883
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1811415599
KS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- General Practice Physician
- Berwyn, IL
- NPI 1013415603
-
- Psychiatric Hospital Unit
- Berwyn, IL
- NPI 1700864352
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Anesthesiology Physician
- Bloomington, IL
- NPI 1770887267
-
- Interventional Pain Medicine Physician
- Bloomington, IL
- NPI 1912202409
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
- Urbana, IL
- NPI 1013071653
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.