Jeffry Lynes Peterson, CRNA
NPI 1164569729ActiveIndividual· Nurse Anesthetist, Certified Registered· Red Bud, IL
Nurse Anesthetist, Certified Registered (CRNA) with Memorial Hospital, practicing in Red Bud, Illinois. Medicare paid $7,338 for services to 55 patients in 2024. Lists Memorial Hospital as a hospital affiliation.
Overview
| NPI | 1164569729 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jan 31, 2007 |
| Last updated in NPPES | May 29, 2026 |
| Certified by provider | May 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 3002489 | KY |
| Nurse Anesthetist, Certified Registered | 367500000X | 124294 | MO |
| Nurse Anesthetist, Certified Registered | 367500000X | 209-000383 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (IL); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 55 |
|---|---|
| Services billed | 59 across 15 procedure codes |
| Paid by Medicare | $7,338 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical group
- Memorial HospitalChester, IL · 30 clinicians
Hospital affiliation
- Memorial HospitalChester, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other nurse anesthetists in Red Bud
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