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JASON MATHIAS AMBROSE CRNA
NPI 1669271318
Nurse Anesthetist, Certified Registered in Mount Carmel, IL

Active since March 13, 2025PECOS EnrolledAccepts Medicare Assignment
1418 COLLEGE DR, MOUNT CARMEL, IL 62863(618) 262-8621 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Mathias Ambrose Crna NPPES

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

JASON MATHIAS AMBROSE CRNA (NPI 1669271318) is an individual nurse anesthetist, certified registered in Mount Carmel, Illinois, licensed in Illinois (209.031846) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669271318
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJASON MATHIAS AMBROSECredential: CRNA
Location Address1418 COLLEGE DRMount Carmel, IL 62863-2638
Mailing Address3211 W Virginia StEvansville, IN 47712-7836 · (812) 598-9847
Phone(618) 262-8621
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 13, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1669271318 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 · 209.031846
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.
1418 COLLEGE DR, Mount Carmel, IL 62863
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Jason Mathias Ambrose 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 ID9032633672
PECOS Enrollment IDI20250404001693, I20260212001709
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 Jason Ambrose reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wabash General Hospital District
Same address
Critical Access
1418 COLLEGE DR
Mount Carmel, IL 62863
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1295834208 (Illinois)
  • 65 clinicians in this Medicare group
NPI 1194728808 (618) 262-8621
Lawrence County Memorial Hospital
21 mi
Rural Health
2111 LEXINGTON AVE
Lawrenceville, IL 62439
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1881643401 (Illinois)
  • 78 clinicians in this Medicare group
NPI 1811183692 (618) 943-7216
Deaconess Hospital, Inc
30 mi
Geriatric Medicine
4498 N 1ST AVE
Evansville, IN 47710
  • Reassigned Medicare billing, Indiana enrollment
  • 717 clinicians in this Medicare group
NPI 1750399259 (812) 436-7280
Methodist Health, Inc.
40 mi
Pediatrics
2000 N ELM ST
Henderson, KY 42420
  • Reassigned Medicare billing, Kentucky enrollment
  • 125 clinicians in this Medicare group
NPI 1457784126 (270) 827-3573
Northstar Anesthesia Of Illinois, LLC
653 mi
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1962822395 (817) 583-7421

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 2

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

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141327
Location1418 College DriveMount Carmel, IL 62863 · Wabash County
Emergency services

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62863 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.

DR. KAMATCHI ONDIVEERAPPAN MD
Emergency Medicine
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 263-6302
WABASH GENERAL HOSPITAL DISTRICT
Medicare Defined Swing Bed Unit
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
DR. MARY GRACE SCHROEDER AUD
Audiologist
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
KAITLYN ANN JOHNSON FNP-C
Nurse Practitioner (Family)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 553-4488
WABASH GENERAL HOSPITAL DISTRICT
General Acute Care Hospital (Critical Access)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
WABASH GENERAL HOSPITAL DISTRICT
Ambulance
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621
ELLIE RAVEN STEINHART
Physician Assistant
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (161) 826-2861
KASEY LEIGH PEARSON PA-C
Physician Assistant (Medical)
1418 COLLEGE DR
MOUNT CARMEL, IL 62863
Wabash County (618) 262-8621

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 Jason Ambrose's NPI number?

The NPI number for Jason Ambrose is 1669271318. It was assigned to this individual provider in the NPPES registry on March 13, 2025.

Where is Jason Ambrose located?

Jason Ambrose practices at 1418 College Dr, Mount Carmel, IL 62863. The listed phone number is (618) 262-8621.

What is Jason Ambrose's specialty?

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

Is Jason Ambrose enrolled in Medicare?

Yes. Jason Ambrose 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 Jason Ambrose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Ambrose reassigns Medicare benefits to 5 organizations: Wabash General Hospital District (Mount Carmel, IL), Lawrence County Memorial Hospital (Lawrenceville, IL), Deaconess Hospital, Inc (Evansville, IN), Methodist Health, Inc. (Henderson, KY) and Northstar Anesthesia Of Illinois, LLC (Arlington, TX). 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 Jason Ambrose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Ambrose accept?

Health plans from CareSource list Jason Ambrose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jason Ambrose affiliated with any hospitals?

According to CMS data, Jason Ambrose is affiliated with Wabash General Hospital 1 and Deaconess Hospital Inc.

When was this NPI record last updated?

The NPPES record for Jason Ambrose was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.