JOHN CARROLL
NPI 1275229494
Nurse Anesthetist, Certified Registered in Peoria, IL
About John Carroll NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN CARROLL (NPI 1275229494) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (209032505) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
John Carroll 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Carroll reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61636
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1164474755 (Illinois)
- 39 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 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.
Proctor Hospital
Acute Care Hospitals · Peoria, ILPekin Memorial Hospital
Acute Care Hospitals · Pekin, ILMethodist Medical Center Of Illinois
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61636 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEORIA, IL 61636
PEORIA, IL 61636
PEORIA, IL 61636
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 John Carroll's NPI number?
The NPI number for John Carroll is 1275229494. It was assigned to this individual provider in the NPPES registry on April 12, 2023.
Where is John Carroll located?
John Carroll practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 645-8759.
What is John Carroll's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John Carroll enrolled in Medicare?
Yes. John 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 John Carroll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Carroll reassigns Medicare benefits to 2 organizations: Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, 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 John Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Carroll affiliated with any hospitals?
According to CMS data, John Carroll is affiliated with Proctor Hospital, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.
When was this NPI record last updated?
The NPPES record for John Carroll was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# John Carroll · NPI 1275229494
Nurse Anesthetist, Certified Registered physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since April 12, 2023.
## Identity
- **NPI:** 1275229494 (Entity type: Individual)
- **Enumerated:** April 12, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209032505 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 NE GLEN OAK AVE, Peoria, IL 61636-1009
- **Phone:** (309) 645-8759
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Methodist Medical Center Of Illinois (NPI 1710198379, Peoria, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275229494) · Data from the CMS NPPES public registry.