Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MARY A BEAM CRNA
NPI 1093712002
Nurse Anesthetist, Certified Registered in Decatur, IL

Active since July 05, 2005
1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2729(217) 464-1693 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary A Beam Crna NPPES

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

MARY A BEAM CRNA (NPI 1093712002) is an individual nurse anesthetist, certified registered in Decatur, Illinois and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1093712002
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY A BEAMCredential: CRNA
Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810
Mailing Address236 S. 6th StreetRiverton, IL 62561 · (217) 629-7401
Fax(217) 464-1693
Sole ProprietorNo
Enumeration DateJuly 5, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1093712002 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.

1800 E LAKE SHORE DR, Decatur, IL 62521

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Anesthetist, Certified Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Emergency Medicine
1800 E LAKE SHORE DR
DECATUR, IL 62521
Emergency Medicine
1800 E LAKE SHORE DR
DECATUR, IL 62521
Dietitian, Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521
Pathology (Anatomic Pathology & Clinical Pathology)
1800 E LAKE SHORE DR, DEPARTMENT OF PATHOLOGY
DECATUR, IL 62521
Dietitian, Registered
1800 E LAKE SHORE DR
DECATUR, IL 62521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093712002, enumerated as an "individual" on July 05, 2005.

The provider is located at 1800 E LAKE SHORE DR DECATUR, IL 62521 and the phone number is (217) 464-2729.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.