DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) – Certified Registered Nurse Anesthetist, NPI 1306430699

DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) is a healthcare provider. based in Vandalia, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNP, CRNA. They hold a License No. 041463654 (IL). The NPI Number for DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) is 1306430699

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA)
NPI
1306430699
Phone
(618) 283-5451
Address
650 W Taylor St
Enumeration Date
26 February 2021
Last Update Date
27 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185264511
Graduation Year
2021 (5 years ago)
PAC ID
0648679118
Group Practice PAC ID
1052576519
Professional Enrollment ID
I20210603001491
Address ID
IL622303618BR9515XLNXX400

Contacts

Secure Messaging
jvaughan306331@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness95
Years active:5State licenses:2Other names

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

Provider Addresses for DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA)

  • 650 W Taylor St

    Vandalia, IL 624711227

    Phone: (618) 283-5451

    Type: Location

  • 1000 Health Center Dr

    Mattoon, IL 619384644

    Phone: (217) 258-4329

    Fax: (217) 258-2186

    Type: Location

  • 9515 HOLY CROSS LN

    BREESE, IL 622303618

    Phone:

    Type: Mailing

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: 2021-06-03

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
I20210603001491ICertified 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
00811Anesthesia for other procedure on large bowel using an endoscope2828$0
00142Anesthesia for lens surgery1411$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
00812Anesthesia for exam of colon using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 62471)

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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: 1052576519View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
-IL
-IL
-IL
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)IL
--
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

What is the standard ID for DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) in the U.S.?
In the U.S., DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) is identified by NPI 1306430699.
Is DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) currently accepting referrals based on NPI status?
Registry metadata lists DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) as active.
What type of care does DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) provide?
DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA) in Vandalia, Illinois?
For routing, start with Vandalia, Illinois for DR. JOSHUA ROBERT VAUGHAN (DNP, CRNA), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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