Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carl Robert Davis, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1992188338

Carl Robert Davis, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mount Vernon, Illinois. Qualified in 2015, 11 years ago. Practices with Apex Anesthesia Partners PLLC, a 34-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2 Good Samaritan Way Ste 205
Mount Vernon, IL 62864-2408
Phone: (618) 241-1108
Fax: (618) 241-3805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209012907 (IL)

Record details

NPI number1992188338
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 2, 2015
Last updated in NPPESJuly 2, 2015
Mailing address4227 Lincolnshire Dr, Mount Vernon, IL 62864-2157

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Apex Anesthesia Partners Pllc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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