1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

KRISTIN M DERER CRNA
NPI 1316405590
Nurse Anesthetist, Certified Registered in Peoria, IL

Active since March 07, 2019PECOS EnrolledAccepts Medicare Assignment
8600 STATE ROUTE 91 STE 250, PEORIA, IL 61615(309) 692-5393 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristin M Derer Crna NPPES

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

KRISTIN M DERER CRNA (NPI 1316405590) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (209-018938) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316405590
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKRISTIN M DERERCredential: CRNA
Location Address8600 STATE ROUTE 91 STE 250Peoria, IL 61615-7831
Mailing Address8600 State Route 91 Ste 250Peoria, IL 61615-7831 · (309) 692-5393
Phone(309) 692-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 7, 2019
✔ NPI 1316405590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IL · 209-018938
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.
8600 STATE ROUTE 91 STE 250, Peoria, IL 61615
Open in Google Maps ↗

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

Kristin M Derer 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 ID6204177876
PECOS Enrollment IDI20190409000035
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

5

Medicare enrollment records show Kristin Derer reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Associated Anesthesiologists, S.C.
1.6 mi
Anesthesiology
6742 N FROSTWOOD PKWY
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Associated Anesthesiologists Sc
  • 337 clinicians in this Medicare group
NPI 1558306480 (309) 692-5393
North American Partners In Anesthesia (illinois), LLC
68 mi
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1699032524 (630) 990-9729
Anesthesia Associates, Ltd
101 mi
Pain Medicine
2540 HANFORD LN
Aurora, IL 60502
  • Reassigned Medicare billing, Illinois enrollment
  • 101 clinicians in this Medicare group
NPI 1952308223 (815) 748-8993
American Anesthesiology Associates Of Illinois, S.C.
108 mi
Anesthesiology
19627 S LA GRANGE RD
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 208 clinicians in this Medicare group
NPI 1962512335 (800) 243-3839
Northstar Anesthesia Of Illinois, LLC
689 mi
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group
NPI 1962822395 (817) 583-7421

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

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

DR. SOPHIE W ESMAIL M.D.
Anesthesiology
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
TODD LADAGE CRNA
Nurse Anesthetist, Certified Registered
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
JAMIE RYNEARSON CRNA
Nurse Anesthetist, Certified Registered
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
CHELSI E AL-KHENAIZI CRNA
Nurse Anesthetist, Certified Registered
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DAVID LLOYD CRNA
Nurse Anesthetist, Certified Registered
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
AMANDA J. BRIGGS CRNA
Nurse Anesthetist, Certified Registered
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. EDWIN YUE-HANG CHAN M.D.
Anesthesiology
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
JEREME PHEASANT CRNA
Nurse Anesthetist, Certified Registered
8600 STATE ROUTE 91 STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393

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 Kristin Derer's NPI number?

The NPI number for Kristin Derer is 1316405590. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Where is Kristin Derer located?

Kristin Derer practices at 8600 State Route 91 Ste 250, Peoria, IL 61615. The listed phone number is (309) 692-5393.

What is Kristin Derer's specialty?

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

Is Kristin Derer enrolled in Medicare?

Yes. Kristin Derer 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 Kristin Derer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Derer reassigns Medicare benefits to 5 organizations: Associated Anesthesiologists, S.C. (Peoria, IL), North American Partners In Anesthesia (illinois), LLC (Springfield, IL), Anesthesia Associates, Ltd (Aurora, IL), American Anesthesiology Associates Of Illinois, S.C. (Mokena, IL) and Northstar Anesthesia Of Illinois, LLC (Arlington, TX). 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 Kristin Derer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kristin Derer affiliated with any hospitals?

According to CMS data, Kristin Derer is affiliated with Copley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kristin Derer was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.