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

Q: 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.

Q: What is Kristin Derer's specialty?

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

Q: 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.

Active since March 07, 2019Accepts 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: August 09, 2026.

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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 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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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