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MARISSA DYANNE WEAVER CRNA
NPI 1700110996
Nurse Anesthetist, Certified Registered in Streator, IL

Active since September 22, 2009PECOS EnrolledAccepts Medicare Assignment
111 SPRING ST, STREATOR, IL 61364(815) 673-2311(815) 673-4592 Get Directions Write a Review

NPPES record last updated: September 22, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marissa Dyanne Weaver Crna NPPES

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

MARISSA DYANNE WEAVER CRNA (NPI 1700110996) is an individual nurse anesthetist, certified registered in Streator, Illinois, licensed in Illinois (041-303587) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1700110996
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARISSA DYANNE WEAVERCredential: CRNA
Location Address111 SPRING STStreator, IL 61364-3332
Mailing Address1800 E Lake Shore Dr, Suite 2500Decatur, IL 62521-3810 · (217) 464-2729 · Fax (217) 464-1693
Phone(815) 673-2311
Fax(815) 673-4592
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 22, 2009
✔ NPI 1700110996 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 · 041-303587
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.
111 SPRING ST, Streator, IL 61364
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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

Marissa Dyanne Weaver 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 ID941478267
PECOS Enrollment IDI20110712000529
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

4

Medicare enrollment records show Marissa Weaver reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesia Pain Services LLC
Same address
Anesthesiology
111 SPRING ST
Streator, IL 61364
  • Reassigned Medicare billing, Illinois enrollment
  • 57 clinicians in this Medicare group
NPI 1790075489 (815) 673-2311
Saint James Hospital
20 mi
Anesthesiology
2500 W REYNOLDS ST
Pontiac, IL 61764
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1790735421 (815) 842-2828
Osf Multi-Specialty Group
49 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Associated Anesthesiologists, S.C.
49 mi
Anesthesiology
6742 N FROSTWOOD PKWY
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associated Anesthesiologists Sc
  • 337 clinicians in this Medicare group
NPI 1558306480 (309) 692-5393

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 4

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 large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
39 services39 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
22 services16 patients
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.
16 services15 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61364 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.

REBECCA ELIZABETH LUCAS-SIMMONS PT
Physical Therapist
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-2311
MONELYN R RABAGO PT
Physical Therapist
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-4549
DR. LEON WISE M.D.
Radiology (Diagnostic Radiology)
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-4642
MICHAEL A BELLINO DPT
Physical Therapist
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-4549
ILLINOIS VALLEY RADIOLOGY
Radiology (Diagnostic Radiology)
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-2311
JASMIN SIERRA BAILEY DPT
Physical Medicine & Rehabilitation
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-4683
CALVIN SLOT MD
Anesthesiology
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-2311
ST MARYS HOSPITAL STREATOR HOSPITAL SISTERS OF THE 3RD ORDR ST FRANCIS
General Acute Care Hospital
111 SPRING ST
STREATOR, IL 61364
Lasalle County (815) 673-4513

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 Marissa Weaver's NPI number?

The NPI number for Marissa Weaver is 1700110996. It was assigned to this individual provider in the NPPES registry on September 22, 2009.

Where is Marissa Weaver located?

Marissa Weaver practices at 111 Spring St, Streator, IL 61364. The listed phone number is (815) 673-2311.

What is Marissa Weaver's specialty?

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

Is Marissa Weaver enrolled in Medicare?

Yes. Marissa Weaver 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 Marissa Weaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Weaver reassigns Medicare benefits to 4 organizations: Anesthesia Pain Services LLC (Streator, IL), Saint James Hospital (Pontiac, IL), Osf Multi-Specialty Group (Peoria, IL) and Associated Anesthesiologists, S.C. (Peoria, 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 Marissa Weaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marissa Weaver affiliated with any hospitals?

According to CMS data, Marissa Weaver is affiliated with Saint James Hospital.

When was this NPI record last updated?

The NPPES record for Marissa Weaver was last updated on September 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.