BETTY SAGOVAC (CRNA) – Certified Registered Nurse Anesthetist, NPI 1225600554

BETTY SAGOVAC (CRNA) is a healthcare provider. based in Fairfield, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209023507 (IL). The NPI Number for BETTY SAGOVAC (CRNA) is 1225600554

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
BETTY SAGOVAC (CRNA)
NPI
1225600554
Phone
(618) 842-2611
Address
303 NW 11th St
Enumeration Date
15 July 2021
Last Update Date
3 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188478346
Graduation Year
2021 (5 years ago)
PAC ID
3779987748
Group Practice PAC ID
5698671741
Professional Enrollment ID
I20210812002677
Address ID
IL628371203FA303XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

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

Provider Addresses for BETTY SAGOVAC (CRNA)

  • 303 NW 11th St

    Fairfield, IL 628371206

    Phone: (618) 842-2611

    Type: Location

  • 303 NW 11TH ST

    FAIRFIELD, IL 628371206

    Phone: (618) 842-2611

    Type: Mailing

  • 611 W PARK ST

    URBANA, IL 618012529

    Phone: (217) 383-3303

    Fax: (217) 383-3265

    Type: Location

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: 2021-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210812002677ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2322$0
View full utilization report →

Insurance plans in this area (ZIP 62837)

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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: 5698671741View full group profile
NameSpecialtyState
Family PracticeIL
Physician AssistantIL
Family PracticeIL
Nurse PractitionerIL
-IN
Clinical Social WorkerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL

Reviews

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Frequently asked questions

Is BETTY SAGOVAC (CRNA) listed with a National Provider Identifier?
Yes — BETTY SAGOVAC (CRNA) has NPI 1225600554 on file in the registry.
Would BETTY SAGOVAC (CRNA) appear as active to a payer?
You can treat BETTY SAGOVAC (CRNA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is BETTY SAGOVAC (CRNA)?
BETTY SAGOVAC (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is BETTY SAGOVAC (CRNA) associated with Fairfield?
Public fields place BETTY SAGOVAC (CRNA) around Fairfield, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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