Jacksonville Crnas Inc
NPI 1821302068 · Certified Registered Nurse Anesthetist · Jacksonville, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacksonville Crnas Inc is a Certified Registered Nurse Anesthetist organization in Jacksonville, IL (NPI 1821302068).
Provider details
- NPI number
- 1821302068
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- David Bolen, Vice President & Cfo(217) 245-9541
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-29
- Last updated
- 2013-07-31
Frequently asked questions
- What is Jacksonville Crnas Inc's NPI number?
- Jacksonville Crnas Inc's National Provider Identifier (NPI) is 1821302068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Crnas Inc?
- Jacksonville Crnas Inc is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacksonville Crnas Inc located?
- Jacksonville Crnas Inc's practice location on file with NPPES is 1600 W Walnut St, Jacksonville, IL 62650-1136.
- What is Jacksonville Crnas Inc's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Crnas Inc is (217) 245-9541.
- Does Jacksonville Crnas Inc accept Medicare?
- Jacksonville Crnas Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jacksonville Crnas Inc?
- The authorized official listed on Jacksonville Crnas Inc's NPPES record is David Bolen, Vice President & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Crnas Inc's NPI active?
- Yes — Jacksonville Crnas Inc's NPI (1821302068) is active in the NPPES registry as of the last update on 2013-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.