Individual provider Active NPI

Rachel Ruth Marshall, CRNA

  • Certified Registered Nurse Anesthetist
  • Quincy, IL
National Provider Identifier
1992061949
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209009394 Issued in IL
Practice address
1005 Broadway St
Quincy, IL 62301-2834
Phone
(217) 223-8400
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209009394 IL Primary

Addresses

Primary practice location

1005 Broadway St
Quincy, IL 62301-2834

Mailing address

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

Other practice location 1

3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-4090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120712000867 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163687393 Reassigns benefits to 3 organizations
I20230512001369 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163687393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blessing HospitalGroup PAC ID 3072422534, 414 clinicians
Quincy Physicians and Surgeons Clinic, PLLCGroup PAC ID 0749192375, 231 clinicians
Hannibal Anesthesia Associates LLCGroup PAC ID 0648297135, 3 clinicians

Practice addresses (Care Compare)

1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400

3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-3500

98 Medical Dr
Hannibal, MO 63401-6885
Phone (573) 406-1301

Hospital & facility affiliations

  • Blessing Hospital Hospital, Quincy, IL, CCN 140015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209009394ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jun 2, 2023 Accepting new patients
Hannibal Anesthesia Associates LLC CurrentSince Apr 1, 2023 Accepting new patients
Blessing Hospital CurrentSince Jul 1, 2024 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Jun 2, 2023 Accepting new patients
Blessing Hospital CurrentSince Jul 1, 2024 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Current Accepting new patients
Eye Anesthesia LLC CurrentSince Oct 14, 2023 Accepting new patients
Northeast Missouri Ambulatory Surgery Center LLC Past Accepting new patients

Locations

12 Professional Park Dr
Maryville, IL 62062
Phone (618) 288-7266

1005 Broadway St
Quincy, IL 62301

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070

1415 Vermont St
Quincy, IL 62301
Phone (217) 223-5611

98 Medical Dr
Hannibal, MO 63401
Phone (573) 406-1301

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

Interoperability endpoints

  • FHIR API: https://fhir.blessinghospital.com/R4/open-Prod

Organizations & group practices 8

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.

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1992061949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012834",
            "telephone_number": "217-223-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013713",
            "country_code": "US",
            "telephone_number": "217-277-4090",
            "fax_number": "217-277-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "RACHEL",
        "middle_name": "RUTH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209009394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.