MR. JIA DONG (CRNA, APNP) – Certified Registered Nurse Anesthetist, NPI 1801420559

MR. JIA DONG (CRNA, APNP) is a healthcare provider. based in Mattoon, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA, APNP. They hold a License No. 209.020980 (IL). The NPI Number for MR. JIA DONG (CRNA, APNP) is 1801420559

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. JIA DONG (CRNA, APNP)
NPI
1801420559
Phone
Not provided
Address
1005 HEALTH CENTER DR STE 201
Enumeration Date
2 March 2020
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3098295311
Graduation Year
2019 (7 years ago)
PAC ID
7214365667
Group Practice PAC ID
6507930526
Professional Enrollment ID
I20200317002401
Address ID
IL617011784BL1008XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

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

Provider Addresses for MR. JIA DONG (CRNA, APNP)

  • 1005 HEALTH CENTER DR STE 201

    MATTOON, IL 619384653

    Phone:

    Type: Mailing

  • 1000 HEALTH CENTER DR

    MATTOON, IL 619384644

    Phone: (217) 258-2440

    Fax: (217) 258-2186

    Type: Location

  • 800 E CARPENTER ST

    SPRINGFIELD, IL 627691000

    Phone: (217) 544-6464

    Type: Mailing

  • 800 E Carpenter St

    Springfield, IL 627690002

    Phone: (217) 544-6464

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $92.

Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($45).

Total Amount

$92

General + Research + Ownership

Payments

5

Total payment records

General Amount

$92

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-28

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
I20200317002401ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20260128001122ICertified Registered Nurse Anesthetist (Crna)WITBD

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
01402Anesthesia for procedure for total knee joint replacement4444$0
00142Anesthesia for lens surgery4139$0
00811Anesthesia for other procedure on large bowel using an endoscope2424$0
01214Anesthesia for total hip replacement1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 61938)

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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: 6507930526View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YPA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)KS
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

Can I use this page to confirm MR. JIA DONG (CRNA, APNP)'s NPI?
Yes. MR. JIA DONG (CRNA, APNP) is listed with NPI 1801420559 in the public NPI dataset.
Is MR. JIA DONG (CRNA, APNP) still practicing?
MR. JIA DONG (CRNA, APNP) is currently listed as active in the public NPI registry.
What is MR. JIA DONG (CRNA, APNP)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MR. JIA DONG (CRNA, APNP) here. Clinical services aligned with this taxonomy classification.
Where is MR. JIA DONG (CRNA, APNP) based?
MR. JIA DONG (CRNA, APNP) is tied to Mattoon, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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