KATHRYN MENTZER CRNA
NPI 1487079596
Nurse Anesthetist, Certified Registered in Decatur, IL
About Kathryn Mentzer Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHRYN MENTZER CRNA (NPI 1487079596) is an individual nurse anesthetist, certified registered in Decatur, Illinois, licensed in Illinois (209011205) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Kathryn Mentzer 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kathryn Mentzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, IL 62526
- Reassigned Medicare billing, Illinois enrollment
- 34 clinicians in this Medicare group
Taylorville, IL 62568
- Reassigned Medicare billing, Illinois enrollment
- 67 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Decatur Memorial Hospital
Acute Care Hospitals · Decatur, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Kathryn Mentzer's NPI number?
The NPI number for Kathryn Mentzer is 1487079596. It was assigned to this individual provider in the NPPES registry on February 26, 2014.
Where is Kathryn Mentzer located?
Kathryn Mentzer practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-8121.
What is Kathryn Mentzer's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kathryn Mentzer enrolled in Medicare?
Yes. Kathryn Mentzer 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 Kathryn Mentzer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Mentzer reassigns Medicare benefits to 2 organizations: Decatur Memorial Hospital (Decatur, IL) and Taylorville Memorial Hospital (Taylorville, 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 Kathryn Mentzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kathryn Mentzer affiliated with any hospitals?
According to CMS data, Kathryn Mentzer is affiliated with Decatur Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kathryn Mentzer was last updated on May 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kathryn Mentzer, CRNA · NPI 1487079596
Nurse Anesthetist, Certified Registered physician in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since February 26, 2014.
## Identity
- **NPI:** 1487079596 (Entity type: Individual)
- **Enumerated:** February 26, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209011205 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2300 N EDWARD ST, Decatur, IL 62526-4163
- **Phone:** (217) 876-8121 · **Fax:** (217) 876-2287
## 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): Decatur Memorial Hospital (NPI 1164477725, Decatur, IL); Taylorville Memorial Hospital (NPI 1144292020, Taylorville, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 14, 2014
- **Other identifiers:** Medicare UPIN 793330 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1487079596) · Data from the CMS NPPES public registry.