SPECTRUM HEALTH INC
NPI 1225792039
Nurse Anesthetist, Certified Registered in Morton, IL

Q: What is Spectrum Health Inc's NPI number?

The NPI number for Spectrum Health Inc is 1225792039. It was assigned to this organization in the NPPES registry on October 27, 2021.

Q: What is Spectrum Health Inc's specialty?

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

Active since October 27, 2021

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

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Spectrum Health Inc NPPES

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

SPECTRUM HEALTH INC (NPI 1225792039) is a healthcare organization registered as a nurse anesthetist, certified registered in Morton, Illinois and active in the NPI registry since October 2021. The organization lists Kenneth Bartman, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1225792039

Entity TypeOrganization

Primary Taxonomy367500000X

Legal Business NameSPECTRUM HEALTH INC

Location Address430 MAXINE DRMorton, IL 61550-2495

Mailing AddressPo Box 570Lake Forest, IL 60045-0570 · (800) 444-6110

Phone(309) 495-4520

Organization SubpartNo

Authorized OfficialKenneth BartmanAuthorized Official · (309) 369-9077

Enumeration DateOctober 27, 2021

NPPES CertifiedOctober 27, 2021

✔ NPI 1225792039 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 provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum Health Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateIllinoisEnrollment IDO20220224000676Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Spectrum Health Inc, which bills Medicare for the services they deliver. They are listed nearest first.