PRAIRIE STATE ANESTHESIA ASSOCIATES, PLLC
NPI 1487266391
Nurse Anesthetist, Certified Registered in Fairview Heights, IL

Active since August 21, 2020
5023 N ILLINOIS ST, FAIRVIEW HEIGHTS, IL 62208(618) 239-0678 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2020, Aug 21, 2020 (2 updates tracked since 2020).

About Prairie State Anesthesia Associates, Pllc NPPES

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

PRAIRIE STATE ANESTHESIA ASSOCIATES, PLLC (NPI 1487266391) is a healthcare organization registered as a nurse anesthetist, certified registered in Fairview Heights, Illinois and active in the NPI registry since August 2020. The organization lists Melanie Smith, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1487266391
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePRAIRIE STATE ANESTHESIA ASSOCIATES, PLLC
Location Address5023 N ILLINOIS STFairview Heights, IL 62208-3453
Mailing Address3414 Peachtree Rd Ne Ste 340Atlanta, GA 30326-1137 · (425) 803-3885
Organization SubpartNo
Authorized OfficialMelanie SmithEnrollment · (425) 803-3885
Enumeration DateAugust 21, 2020
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
NPI 1487266391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedAnesthesiologyTaxonomy 207L00000X
5023 N ILLINOIS ST, Fairview Heights, IL 62208

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
5023 N ILLINOIS ST, SUITE 3
FAIRVIEW HEIGHTS, IL 62208
Clinic/Center (Ambulatory Surgical)
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Internal Medicine (Gastroenterology)
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Physician Assistant
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Nurse Anesthetist, Certified Registered
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Internal Medicine (Gastroenterology)
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Nurse Practitioner (Family)
5023 N ILLINOIS ST
FAIRVIEW HEIGHTS, IL 62208
Anesthesiology
5023 N ILLINOIS ST, STE 1
FAIRVIEW HEIGHTS, IL 62208

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 Prairie State Anesthesia Associates, PLLC's NPI number?

The NPI number for Prairie State Anesthesia Associates, PLLC is 1487266391. It was assigned to this organization in the NPPES registry on August 21, 2020.

Where is Prairie State Anesthesia Associates, PLLC located?

Prairie State Anesthesia Associates, PLLC is located at 5023 N Illinois St, Fairview Heights, IL 62208. The listed phone number is (618) 239-0678.

What is Prairie State Anesthesia Associates, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prairie State Anesthesia Associates, PLLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.