MCDONOUGH DISTRICT HOSPITAL
NPI 1871704874
Nurse Anesthetist, Certified Registered in Macomb, IL

Active since May 24, 2007
525 E GRANT ST, MACOMB, IL 61455(309) 833-4101 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mcdonough District Hospital NPPES

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

MCDONOUGH DISTRICT HOSPITAL (NPI 1871704874) is a healthcare organization registered as a nurse anesthetist, certified registered in Macomb, Illinois and active in the NPI registry since May 2007. The organization lists Brian E Dietz, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871704874
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameMCDONOUGH COUNTY HOSPITAL DISTRICT
Location Address525 E GRANT STMacomb, IL 61455-3313
Mailing Address525 E Grant StMacomb, IL 61455-3313 · (309) 833-4101
Organization SubpartNo
Authorized OfficialBrian E DietzPresident, Ceo · (309) 833-4101
Enumeration DateMay 24, 2007
Last NPPES UpdateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
✔ NPI 1871704874 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
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.
525 E GRANT ST, Macomb, IL 61455

Other Names 1

Doing Business AsMcdonough District Hospital

Other Identifiers 1

Other0005519699IL · Blue Shield Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcdonough District Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Mcdonough District Hospital, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (15)

Certified Registered Nurse Anesthetist (CRNA)
NPI 1346319001
210 W WALNUT ST
Canton, IL 61520
(309) 647-5240
✔ PECOS✔ Accepts Medicare34 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1255327847
695 N KELLOGG ST
Galesburg, IL 61401
(309) 343-8131
✔ PECOS38 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1851339030
695 N KELLOGG ST
Galesburg, IL 61401
(309) 343-8131
✔ PECOS✔ Accepts Medicare38 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093882227
3333 N SEMINARY ST
Galesburg, IL 61401
(309) 344-3161
✔ PECOS✔ Accepts Medicare41 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699779546
1005 BROADWAY ST
Quincy, IL 62301
(217) 223-8400
✔ PECOS✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1497393847
1005 BROADWAY ST
Quincy, IL 62301
(217) 223-8400
✔ PECOS✔ Accepts Medicare53 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386738268
600 S 13TH ST
Pekin, IL 61554
(309) 353-0406
✔ PECOS✔ Accepts Medicare55 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538589932
600 S 13TH ST
Pekin, IL 61554
(309) 353-0529
✔ PECOS✔ Accepts Medicare55 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881619963
111 W WASHINGTON ST SUITE 310
East Peoria, IL 61611
(309) 699-4715
✔ PECOS✔ Accepts Medicare59 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144224429
545 VALLEY VIEW DR
Moline, IL 61265
(309) 762-5560
✔ PECOS✔ Accepts Medicare71 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760467773
530 PARK AVE E STE 201
Princeton, IL 61356
(815) 875-2811
✔ PECOS✔ Accepts Medicare89 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1891110532
303 NW 11TH ST
Fairfield, IL 62837
(618) 842-2611
✔ PECOS✔ Accepts Medicare188 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1467462671
1500 N RITTER AVE
Indianapolis, IN 46219
(317) 355-5539
✔ PECOS✔ Accepts Medicare247 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659366037
250 PARK ST
Bowling Green, KY 42101
(270) 393-1912
✔ PECOS✔ Accepts Medicare330 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1710400239
2720 SUNSET BLVD
West Columbia, SC 29169
(803) 935-8538
✔ PECOS✔ Accepts Medicare688 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mcdonough County Hospital District's NPI number?

The NPI number for Mcdonough County Hospital District is 1871704874. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Mcdonough District Hospital.

Where is Mcdonough County Hospital District located?

Mcdonough County Hospital District is located at 525 E Grant St, Macomb, IL 61455. The listed phone number is (309) 833-4101.

What is Mcdonough County Hospital District's specialty?

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

Is Mcdonough County Hospital District enrolled in Medicare?

Yes. Mcdonough County Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mcdonough County Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Certified Registered Nurse Anesthetist (CRNA), reassign their Medicare billing to Mcdonough County Hospital District. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mcdonough County Hospital District was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.