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JOHN ALLEN
NPI 1417054438
Nurse Anesthetist, Certified Registered in Olney, IL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
800 E LOCUST ST, OLNEY, IL 62450(618) 395-7340 Get Directions Write a Review

NPPES record last updated: February 1, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Allen NPPES

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

JOHN ALLEN (NPI 1417054438) is an individual nurse anesthetist, certified registered in Olney, Illinois and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Clay County Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1417054438
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJOHN ALLEN
Location Address800 E LOCUST STOlney, IL 62450-2553
Mailing Address800 E Locust StOlney, IL 62450-2553 · (618) 395-7340
Phone(618) 395-7340
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 1, 2008
✔ NPI 1417054438 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.
800 E LOCUST ST, Olney, IL 62450
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Other Identifiers 2

Other08022315Blue Shield Number
Medicare PINK27265IL

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 Allen 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 ID1557371010
PECOS Enrollment IDI20060427000509
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

5

Medicare enrollment records show John Allen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Richland Memorial Hospital, Inc
Same address
Critical Access
800 E LOCUST ST
Olney, IL 62450
  • Reassigned Medicare billing, Illinois enrollment
  • 301 clinicians in this Medicare group
NPI 1467492124 (618) 395-7340
County Of Clay
22 mi
Critical Access
911 STACEY BURK DR
Flora, IL 62839
  • Reassigned Medicare billing, Illinois enrollment
  • 65 clinicians in this Medicare group
NPI 1184655136 (618) 662-2131
Fairfield Memorial Hospital Association
29 mi
Critical Access
303 NW 11TH ST
Fairfield, IL 62837
  • Reassigned Medicare billing, Illinois enrollment
  • 14 clinicians in this Medicare group
NPI 1255422416 (618) 847-8260
Salem Township Hospital
48 mi
Critical Access
1201 RICKER DRIVE
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265467195 (Illinois)
  • 35 clinicians in this Medicare group
NPI 1295739548 (618) 548-3194
Professional Anesthesia Services Of Kentucky PLLC
131 mi
Anesthesiology
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 526 clinicians in this Medicare group
NPI 1992212807 (214) 687-0001

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Clay County Hospital

Critical Access Hospitals · Flora, IL
OwnershipGovernment - Local
CMS Certification Number141351
Location911 Stacy Burk DrFlora, IL 62839 · Clay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62450 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.

RICHLAND MEMORIAL HOSPITAL
General Acute Care Hospital
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-2131
SHAY N FARRIS PTA
Physical Medicine & Rehabilitation
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-6031
NIRANAT DEJTIRANUKUL M.D.
Otolaryngology
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-7340
DONNA WHITAKER
Dietitian, Registered
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-7340
KELSIE ANN HARPER OTD, OTR
Occupational Therapist
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-7340
TRENTON TREY TITSWORTH APN
Nurse Practitioner (Family)
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-2131
ALYSSA SUZANNE LEWANDOWSKI D.O
Family Medicine
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-7340
ARROW AMBULANCE, LLC
Ambulance (Land Transport)
800 E LOCUST ST
OLNEY, IL 62450
Richland County (618) 395-6001

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 Allen's NPI number?

The NPI number for John Allen is 1417054438. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is John Allen located?

John Allen practices at 800 E Locust St, Olney, IL 62450. The listed phone number is (618) 395-7340.

What is John Allen's specialty?

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

Is John Allen enrolled in Medicare?

Yes. John Allen 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 Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Allen reassigns Medicare benefits to 5 organizations: Richland Memorial Hospital, Inc (Olney, IL), County Of Clay (Flora, IL), Fairfield Memorial Hospital Association (Fairfield, IL), Salem Township Hospital (Salem, IL) and Professional Anesthesia Services Of Kentucky PLLC (Louisville, KY). 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 Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is John Allen affiliated with any hospitals?

According to CMS data, John Allen is affiliated with Clay County Hospital.

When was this NPI record last updated?

The NPPES record for John Allen was last updated on February 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.