MATTHEW J BEDNARCHIK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124391552

MATTHEW J BEDNARCHIK (CRNA) is a healthcare provider. based in Jacksonville, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209009383 (IL). The NPI Number for MATTHEW J BEDNARCHIK (CRNA) is 1124391552

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW J BEDNARCHIK (CRNA)
NPI
1124391552
Phone
(217) 525-5643
Address
1600 W WALNUT ST
Enumeration Date
15 February 2012
Last Update Date
15 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6414724111
Graduation Year
2011 (15 years ago)
PAC ID
5092974741
Group Practice PAC ID
9335059575
Professional Enrollment ID
I20230906003164
Address ID
IA525569572FA2000XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for MATTHEW J BEDNARCHIK (CRNA)

  • 1600 W WALNUT ST

    JACKSONVILLE, IL 626501136

    Phone: (217) 525-5643

    Fax: (217) 544-3311

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120315000484ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20230906003164ICertified Registered Nurse Anesthetist (Crna)IATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes192123$0
62323Injection of substance into lower spine canal using imaging guidance1414$0
View full utilization report →

Insurance plans in this area (ZIP 62650)

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Provider's Procedures

MATTHEW J BEDNARCHIK (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETIL76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335059575View full group profile
NameSpecialtyState
Physician AssistantIA
Family PracticeIA
-IA
Orthopedic SurgeryIA
Family PracticeIA
Nurse PractitionerIA
Certified Registered Nurse Anesthetist (Crna)IA
Physician AssistantIA
Certified Registered Nurse Anesthetist (Crna)IA
Family PracticeIA

Reviews

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Frequently asked questions

Can I use this page to confirm MATTHEW J BEDNARCHIK (CRNA)'s NPI?
Yes. MATTHEW J BEDNARCHIK (CRNA) is listed with NPI 1124391552 in the public NPI dataset.
Does CMS list MATTHEW J BEDNARCHIK (CRNA) as active?
Yes — MATTHEW J BEDNARCHIK (CRNA) is active in the NPI listing used on this page.
What healthcare role does MATTHEW J BEDNARCHIK (CRNA) hold?
Scheduling teams often label MATTHEW J BEDNARCHIK (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is MATTHEW J BEDNARCHIK (CRNA) based?
MATTHEW J BEDNARCHIK (CRNA) is tied to Jacksonville, Illinois in the data we show; additional addresses may exist on the full record.
Why does MATTHEW J BEDNARCHIK (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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