Active NPI
Emily Ann Alli, CRNA
- Certified Registered Nurse Anesthetist
- Centralia, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209002859
- Practice address
- 400 N Pleasant Ave
Centralia, IL 62801-3098 - Phone
- (618) 436-6204
- NPI assigned
- Apr 5, 2006
- Last updated
- Oct 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209002859 | IL | Primary |
Addresses
Primary practice location
400 N Pleasant Ave
Centralia, IL 62801-3098
Mailing address
2 Good Samaritan Way Ste 205
Mount Vernon, IL 62864-2476
Phone (618) 899-3869
Other practice location 1
5276 Hoots Chapel Rd
Salem, IL 62881-4522
Phone (618) 548-1253
Other names 1
- Emily Ann Jourdan
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)
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209002859 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | 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 |
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
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health St. Mary's Hospital - Centralia
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
dba SSM Health St. Mary's Hospital - Centralia
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Mary's Hospital - Centralia
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1932161817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GOOD SAMARITAN WAY STE 205",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642476",
"telephone_number": "618-899-3869",
"fax_number": "618-899-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PLEASANT AVE",
"city": "CENTRALIA",
"state": "IL",
"postal_code": "628013098",
"telephone_number": "618-436-6204"
}
],
"practiceLocations": [
{
"address_1": "5276 Hoots Chapel Rd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "IL",
"postal_code": "628814522",
"country_code": "US",
"telephone_number": "618-548-1253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLI",
"first_name": "EMILY",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209002859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "JOURDAN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centralia, IL
- Advanced Surgical Technology, LLC
- Miguel A Aguilera, MD
- Nazir Ahmad, MD
- Amanda Allen
- Brenda S Allen, B.S
- Natalie Amason, FNP
- Ambulatory Surgery Center of Centralia
- Ambulatory Surgery Center of Centralia, LLC (The Surgery Center of Centralia)
- Ambulatory Surgery Center of Centralia, LLC (Surgery Center of Centralia)
- Stephen T Ang, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.