PRINCIPLE ANESTHESIA PLLC
NPI 1063128049
Nurse Anesthetist, Certified Registered in Morton, IL

Q: What is Principle Anesthesia PLLC's NPI number?

The NPI number for Principle Anesthesia PLLC is 1063128049. It was assigned to this organization in the NPPES registry on January 24, 2023.

Q: What is Principle Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Active since January 24, 2023

430 MAXINE DR, MORTON, IL 61550(309) 495-4520 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Principle Anesthesia Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCIPLE ANESTHESIA PLLC (NPI 1063128049) is a healthcare organization registered as a nurse anesthetist, certified registered in Morton, Illinois and active in the NPI registry since January 2023. The organization lists Michael Keedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1063128049

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NamePRINCIPLE ANESTHESIA PLLC

Location Address430 MAXINE DRMorton, IL 61550-2495

Mailing AddressPo Box 631Lake Forest, IL 60045-0631 · (847) 615-2858

Phone(309) 495-4520

Organization SubpartNo

Authorized OfficialMichael KeedyOwner · (309) 267-5510

Enumeration DateJanuary 24, 2023

Last NPPES UpdateJanuary 26, 2023

NPPES CertifiedJanuary 26, 2023

✔ NPI 1063128049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

430 MAXINE DR, Morton, IL 61550

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Principle Anesthesia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Principle Anesthesia PLLC, which bills Medicare for the services they deliver. They are listed nearest first.