DR. NATHAN MITCHELL CARROLL DNP, CRNA
NPI 1124752779
Nurse Anesthetist, Certified Registered in Robinson, IL

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1000 N ALLEN ST, ROBINSON, IL 62454(618) 544-3131 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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 enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124752779
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. NATHAN MITCHELL CARROLLCredential: DNP, CRNA
Location Address1000 N ALLEN STRobinson, IL 62454-1114
Mailing Address152 Edwards St Apt AGlen Carbon, IL 62034-1132 · (618) 535-5194
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2022
NPPES CertifiedJune 8, 2022
✔ NPI 1124752779 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
License✔ Licensed in IL · 209025391
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.
1000 N ALLEN ST, Robinson, IL 62454

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

PECOS PAC ID4385028612
PECOS Enrollment IDI20220906000031
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Nathan Carroll reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1000 N ALLEN ST
Robinson, IL 62454
  • Reassigned Medicare billing, Illinois enrollment
  • 116 clinicians in this Medicare group
Pain Medicine
1006 S 6TH ST
Marshall, IL 62441
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1679502322 (Illinois)
  • 216 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Internal Medicine
701 E ORANGE ST
Hoopeston, IL 60942
  • Reassigned Medicare billing, Illinois enrollment
  • 488 clinicians in this Medicare group
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
701 N 1ST ST
Springfield, IL 62781
  • Reassigned Medicare billing, Illinois enrollment
  • 102 clinicians in this Medicare group
Anesthesiology
6742 N FROSTWOOD PKWY
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associated Anesthesiologists Sc
  • 337 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician 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.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

Surgery
1000 N ALLEN ST
ROBINSON, IL 62454
Dietitian, Registered
1000 N ALLEN ST
ROBINSON, IL 62454
Physical Therapy Assistant
1000 N ALLEN ST
ROBINSON, IL 62454
Physical Therapy Assistant
1000 N ALLEN ST
ROBINSON, IL 62454
Pharmacy
1000 N ALLEN ST
ROBINSON, IL 62454
Pharmacy
1000 N ALLEN ST
ROBINSON, IL 62454
Physical Therapy Assistant
1000 N ALLEN ST
ROBINSON, IL 62454
Physical Therapy Assistant
1000 N ALLEN ST
ROBINSON, IL 62454

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.

Which organizations bill Medicare for Nathan Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Carroll reassigns Medicare benefits to 7 organizations: Crawford Hospital District (Robinson, IL), Hospital & Medical Foundation Of Paris, Inc. (Marshall, IL), Carle Health Medical Group (Urbana, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL), North American Partners In Anesthesia (illinois), LLC (Springfield, IL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nathan Carroll affiliated with any hospitals?

According to CMS data, Nathan Carroll is affiliated with St Johns Hospital, Saint Francis Medical Center and 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.