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

John Carroll

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275229494

John Carroll is a Certified Registered Nurse Anesthetist (CRNA) in Peoria, Illinois. Qualified in 2025, 1 year ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
1
Licensed in
IL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-1009
Phone: (309) 645-8759
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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 209032505 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275229494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2023
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address710 Creekside Dr, Tiffin, IA 52340-8406

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Methodist Medical Center Of Illinois — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Peoria