Prairie State Anesthesia Associates, PLLC
NPI 1487266391ActiveOrganization· Nurse Anesthetist, Certified Registered· Fairview Heights, IL
Nurse Anesthetist, Certified Registered in Fairview Heights, Illinois, registered in NPPES in August 2020. The authorized official on file is Melanie Smith, Enrollment.
Overview
| NPI | 1487266391 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2020 |
| Last updated in NPPES | Jul 23, 2025 |
| Certified by provider | Jul 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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