CMS-1500 Box 24J / 33a • NPI
1831257682
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
367500000X (CMS 43)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered
Box 32 Service Location & ZIP+4
503 N MAPLE ST, EFFINGHAM, IL, 62401-2006
✓ 9-Digit EDI 837 ZIP+4 (62401-2006)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1831257682 (AMSOL ANESTHETISTS OF ILLINOIS, PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1831257682 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AMSOL ANESTHETISTS OF ILLINOIS, PC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered NUCC Code: 367500000X (Nurse Anesthetist, Certified Registered) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 503 N MAPLE ST, EFFINGHAM, IL, 62401-2006 |
| Practice Telephone / Fax | Tel: (217) 347-1586 |
| Administrative Mailing Address | PO BOX 5471, HIGH POINT, NC, 27262-5471 |
| Enumeration & Last Sync | Enumerated: 2006-12-05 | CMS Record Updated: 2007-10-06 |
| Authorized Official | JAMES COTTRELL (PRESIDENT) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (367500000X)
What Does Taxonomy Code 367500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367500000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AMSOL ANESTHETISTS OF ILLINOIS, PC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
367500000X — Nurse Anesthetist, Certified RegisteredPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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