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AUTUMN ALTHEIDE CRNA
NPI 1265830434
Nurse Anesthetist, Certified Registered in Springfield, IL

Active since December 19, 2014Accepts Medicare Assignment
800 E CARPENTER ST, SPRINGFIELD, IL 62702(217) 525-5643(217) 544-2521 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Altheide Crna NPPES

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

AUTUMN ALTHEIDE CRNA (NPI 1265830434) is an individual nurse anesthetist, certified registered in Springfield, Illinois, licensed in Illinois (209012547) and active in the NPI registry since December 2014. She is affiliated with St Johns Hospital and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265830434
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameAUTUMN ALTHEIDECredential: CRNA
Location Address800 E CARPENTER STSpringfield, IL 62702-5324
Mailing Address800 E Carpenter StSpringfield, IL 62702-5324 · (217) 525-5643 · Fax (217) 544-2521
Phone(217) 525-5643
Fax(217) 544-2521
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 19, 2014
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1265830434 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 · 209012547
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.
800 E CARPENTER ST, Springfield, IL 62702
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Other Names 1

Former Name (1)Autumn Smith

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

Autumn Altheide 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 ID9133445034
PECOS Enrollment IDI20150312001588

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

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 62702 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.

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.

JENNA YOUNKER CRNA
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-5643
KELSEY GEE OTR/L
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 544-6464
DR. JOSEPH T. BASLER M.D.
Radiology (Diagnostic Radiology)
800 E CARPENTER ST, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702
Sangamon County (217) 544-6464
SARAH ROSENTHAL CRNA
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-5643
JACKIE COOLEY
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 525-5643
JAMIE JOANN RINEHART PA
Physician Assistant
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 544-6464
MR. JAYSON A COBLE PA-C
Physician Assistant
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 544-6464
SHASHI DHAR RAJURI M.D
Internal Medicine
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Sangamon County (217) 544-6464

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 Autumn Altheide's NPI number?

The NPI number for Autumn Altheide is 1265830434. It was assigned to this individual provider in the NPPES registry on December 19, 2014. The provider is also known as Autumn Smith.

Where is Autumn Altheide located?

Autumn Altheide practices at 800 E Carpenter St, Springfield, IL 62702. The listed phone number is (217) 525-5643.

What is Autumn Altheide's specialty?

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

Is Autumn Altheide enrolled in Medicare?

Yes. Autumn Altheide 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 Autumn Altheide affiliated with any hospitals?

According to CMS data, Autumn Altheide is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Autumn Altheide was last updated on December 28, 2021. 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.