G & G Anesthesia LLC
NPI 1487020111ActiveOrganization· Nurse Anesthetist, Certified Registered· Maryville, IL
Nurse Anesthetist, Certified Registered in Maryville, Illinois, registered in NPPES in August 2015. The authorized official on file is Randy Pruetzel, Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1487020111 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 17, 2015 |
| Last updated in NPPES | Feb 27, 2026 |
| Certified by provider | Feb 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 209007445 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MO); Part B Supplier - Clinic/Group Practice (NM) |
|---|
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