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

Active since December 19, 2014PECOS EnrolledAccepts 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: October 25, 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 enrolled in Medicare PECOS, 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
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

Other Names 1

Former Name (1)Autumn Smith

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

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
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

2

Medicare enrollment records show Autumn Altheide reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

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

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

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.

Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Radiology (Diagnostic Radiology)
800 E CARPENTER ST, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Physician Assistant
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Physician Assistant
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Internal Medicine
800 E CARPENTER ST
SPRINGFIELD, IL 62702

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.

Which organizations bill Medicare for Autumn Altheide's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Altheide reassigns Medicare benefits to 2 organizations: North American Partners In Anesthesia (illinois), LLC (Springfield, IL) and Memorial Medical Center (Springfield, IL). 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 Autumn Altheide's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.