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

Individual provider Certified Registered Nurse Anesthetist · NPI 1063516136

Jonathan L Sorenson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mount Vernon, Illinois. Qualified in 1991, 35 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Licensed in
IL
In the registry since
2006
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 209000414 (IL)

Record details

NPI number1063516136
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 11, 2006
Last updated in NPPESJanuary 24, 2014
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 1991 (35 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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