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

MS. Mallory Michelle Light, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1093385072

MS. Mallory Michelle Light, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Mattoon, Illinois. Qualified in 2022, 4 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
4
Licensed in
IL, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone: (217) 258-2440
Fax: (217) 258-2186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 — (800) 862-9980

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209-026738 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2023001550 (MO)

Record details

NPI number1093385072
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 30, 2021
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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