ANDREW JAMES STANDEFER CRNA
NPI 1295358810
Nurse Anesthetist, Certified Registered in Alton, IL

Active since May 19, 2020PECOS EnrolledAccepts Medicare Assignment
1 MEMORIAL DR, ALTON, IL 62002(618) 463-7311 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2022, Mar 8, 2021, May 29, 2020 and 1 more (4 updates tracked since 2020).

About Andrew James Standefer Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JAMES STANDEFER CRNA (NPI 1295358810) is an individual nurse anesthetist, certified registered in Alton, Illinois, licensed in Illinois (209.021339) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Alton Memorial Hospital, and maintains a secondary practice location in Jerseyville.

NPPES Registry Identity

NPI1295358810
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameANDREW JAMES STANDEFERCredential: CRNA
Location Address1 MEMORIAL DRAlton, IL 62002-6722
Mailing Address1206 Moreland CtMoro, IL 62067-1559 · (618) 210-1594
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 19, 2020
Last NPPES UpdateMay 25, 20224 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1295358810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209.021339
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.448411 (IL)
1 MEMORIAL DR, Alton, IL 62002

Secondary Practice Location 1

Location 1400 Maple Summit RdJerseyville, IL 62052-2028 · Phone (618) 498-8420

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew James Standefer Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597180539
PECOS Enrollment IDI20200807000262
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrew Standefer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
11155 DUNN RD, SUITE 204N
Saint Louis, MO 63136
  • Reassigned Medicare billing, Illinois enrollment
  • 22 clinicians in this Medicare group
Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 253 clinicians in this Medicare group
Family Medicine
400 MAPLE SUMMIT RD
Jerseyville, IL 62052
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Jersey Community Hospital
  • 61 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
22 services22 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
16 services16 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alton Memorial Hospital

Acute Care Hospitals · Alton, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140002
LocationOne Memorial DriveAlton, IL 62002 · Madison County
Emergency services Birthing friendly

Jersey Community Hospital

Acute Care Hospitals · Jerseyville, IL
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140059
Location400 Maple Summit RoadJerseyville, IL 62052 · Jersey County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.14 typical visit price
range $56.28 – $173.35
Typical copayment $32.78 (range $14.07 – $43.33)
Most-billed visit code 99204
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1 MEMORIAL DR
ALTON, IL 62002
Hospitalist
1 MEMORIAL DR
ALTON, IL 62002
Emergency Medicine
1 MEMORIAL DR
ALTON, IL 62002
Emergency Medicine
1 MEMORIAL DR
ALTON, IL 62002
Nurse Anesthetist, Certified Registered
1 MEMORIAL DR
ALTON, IL 62002
Social Worker (Clinical)
1 MEMORIAL DR, 2ND FLOOR, OLIN WING
ALTON, IL 62002
Pharmacy (Mail Order Pharmacy)
1 MEMORIAL DR
ALTON, IL 62002
Ambulance
1 MEMORIAL DR
ALTON, IL 62002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Standefer's NPI number?

The NPI number for Andrew Standefer is 1295358810. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Andrew Standefer located?

Andrew Standefer practices at 1 Memorial Dr, Alton, IL 62002. The listed phone number is (618) 463-7311.

What is Andrew Standefer's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Andrew Standefer enrolled in Medicare?

Yes. Andrew Standefer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrew Standefer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Standefer reassigns Medicare benefits to 3 organizations: Midwest Anesthesia Associates, P.C. (Saint Louis, MO), Midwest Anesthesia Providers S.C (Saint Louis, MO) and Jersey Community Hospital District (Jerseyville, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Standefer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrew Standefer affiliated with any hospitals?

According to CMS data, Andrew Standefer is affiliated with Alton Memorial Hospital and Jersey Community Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Standefer was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.