DR. NATHAN MITCHELL CARROLL DNP, CRNA
NPI 1124752779
Nurse Anesthetist, Certified Registered in Robinson, IL
About Dr. Nathan Mitchell Carroll Dnp, Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NATHAN MITCHELL CARROLL DNP, CRNA (NPI 1124752779) is an individual nurse anesthetist, certified registered in Robinson, Illinois, licensed in Illinois (209025391) and active in the NPI registry since July 2022. He is affiliated with Memorial Medical Center and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nathan Mitchell Carroll Dnp, Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nathan Carroll's NPI number?
The NPI number for Nathan Carroll is 1124752779. It was assigned to this individual provider in the NPPES registry on July 11, 2022.
Where is Nathan Carroll located?
Nathan Carroll practices at 1000 N Allen St, Robinson, IL 62454. The listed phone number is (618) 544-3131.
What is Nathan Carroll's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Nathan Carroll enrolled in Medicare?
Yes. Nathan Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Nathan Carroll affiliated with any hospitals?
According to CMS data, Nathan Carroll is affiliated with Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Nathan Carroll was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Nathan Mitchell Carroll, DNP, CRNA · NPI 1124752779
Nurse Anesthetist, Certified Registered physician in Robinson, Illinois. Individual provider, active in the CMS NPPES registry since July 11, 2022.
## Identity
- **NPI:** 1124752779 (Entity type: Individual)
- **Enumerated:** July 11, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209025391 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 N ALLEN ST, Robinson, IL 62454-1114
- **Phone:** (618) 544-3131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124752779) · Data from the CMS NPPES public registry.