JODI K NEILL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1922374487

JODI K NEILL (CRNA) is a healthcare provider. based in Sullivan, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 135735 (MO). The NPI Number for JODI K NEILL (CRNA) is 1922374487

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JODI K NEILL (CRNA)
NPI
1922374487
Phone
(314) 775-2816
Address
751 SAPPINGTON BRIDGE RD
Enumeration Date
29 March 2012
Last Update Date
5 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5734684186
Graduation Year
2012 (14 years ago)
PAC ID
0648429977
Group Practice PAC ID
9830480581
Professional Enrollment ID
I20121002000574
Address ID
MO630802354SU751XXRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for JODI K NEILL (CRNA)

  • 751 SAPPINGTON BRIDGE RD

    SULLIVAN, MO 630802354

    Phone: (314) 775-2816

    Fax: (314) 775-2821

    Type: Mailing

  • 300 1ST CAPITOL DR

    SAINT CHARLES, MO 633012844

    Phone: (314) 989-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2023-03-28 • Largest payer in this snapshot: EAGLE PHARMACEUTICALS, INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-28

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: 2012-10-02

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
I20121002000574ICertified Registered Nurse Anesthetist (Crna)MOTBD

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 endoscope1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 63080)

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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: 9830480581View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Certified Registered Nurse Anesthetist (Crna)MO
Anesthesiology AssistantNC
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Critical Care (Intensivists)MO
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What federal number belongs to JODI K NEILL (CRNA)?
The federal identifier for JODI K NEILL (CRNA) is NPI 1922374487.
Is JODI K NEILL (CRNA)'s NPI currently valid?
The extract we use shows JODI K NEILL (CRNA) as active.
What field does JODI K NEILL (CRNA) work in?
You can think of JODI K NEILL (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does JODI K NEILL (CRNA) practice in Missouri?
You will see Sullivan, Missouri on file for JODI K NEILL (CRNA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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