MRS. SHAWNA COLLEEN WATERSTRADT CRNA
NPI 1790157014
Nurse Anesthetist, Certified Registered in Urbana, IL
About Mrs. Shawna Colleen Waterstradt Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHAWNA COLLEEN WATERSTRADT CRNA (NPI 1790157014) is an individual nurse anesthetist, certified registered in Urbana, Illinois, licensed in Illinois (209013803) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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
Mrs. Shawna Colleen Waterstradt 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
6Medicare enrollment records show Shawna Waterstradt reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Urbana, IL 61802
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1790913903 (Illinois)
- 201 clinicians in this Medicare group
Hoopeston, IL 60942
- Reassigned Medicare billing, Illinois enrollment
- 88 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Mokena, IL 60448
- Reassigned Medicare billing, Illinois enrollment
- 208 clinicians in this Medicare group
Crown Point, IN 46307
- Reassigned Medicare billing, Illinois enrollment
- 15 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILGibson Community Hospital
Critical Access Hospitals · Gibson City, ILIroquois Memorial Hospital
Critical Access Hospitals · Watseka, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
URBANA, IL 61801
URBANA, IL 61801
URBANA, IL 61801
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 Shawna Waterstradt's NPI number?
The NPI number for Shawna Waterstradt is 1790157014. It was assigned to this individual provider in the NPPES registry on October 26, 2015. The provider is also known as Shawna Colleen Creek.
Where is Shawna Waterstradt located?
Shawna Waterstradt practices at 611 W. Park St. Anesthesiology, Urbana, IL 61801. The listed phone number is (217) 383-3303.
What is Shawna Waterstradt's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Shawna Waterstradt enrolled in Medicare?
Yes. Shawna Waterstradt 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 Shawna Waterstradt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawna Waterstradt reassigns Medicare benefits to 6 organizations: Carle Health Medical Group (Urbana, IL), Gibson Community Hospital Association (Urbana, IL), Hoopeston Community Memorial Hospital (Hoopeston, IL), Osf Multi-Specialty Group (Peoria, IL), American Anesthesiology Associates Of Illinois, S.C. (Mokena, IL) and 1 more organization, listed in the Medicare section above. 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 Shawna Waterstradt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Shawna Waterstradt affiliated with any hospitals?
According to CMS data, Shawna Waterstradt is affiliated with St Mary Medical Center, Gibson Community Hospital and Iroquois Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shawna Waterstradt was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Shawna Colleen Waterstradt, CRNA · NPI 1790157014
Nurse Anesthetist, Certified Registered physician in Urbana, Illinois. Individual provider, active in the CMS NPPES registry since October 26, 2015.
## Identity
- **NPI:** 1790157014 (Entity type: Individual)
- **Enumerated:** October 26, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209013803 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 W. PARK ST., ANESTHESIOLOGY, Urbana, IL 61801-2500
- **Phone:** (217) 383-3303 · **Fax:** (217) 383-3265
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Carle Health Medical Group (NPI 1154653947, Urbana, IL); Gibson Community Hospital Association (NPI 1275403693, Urbana, IL); Hoopeston Community Memorial Hospital (NPI 1366480873, Hoopeston, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); American Anesthesiology Associates Of Illinois, S.C. (NPI 1962512335, Mokena, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790157014) · Data from the CMS NPPES public registry.