STEVEN D FETZER CRNA
NPI 1528111325
Nurse Anesthetist, Certified Registered in Quincy, IL

Q: What is Steven Fetzer's NPI number?

The NPI number for Steven Fetzer is 1528111325. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Q: What is Steven Fetzer'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 Steven Fetzer was last updated on January 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 18, 2007PECOS Enrolled

3301 BROADWAY ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: January 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Steven D Fetzer Crna NPPES

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

STEVEN D FETZER CRNA (NPI 1528111325) is an individual nurse anesthetist, certified registered in Quincy, Illinois, licensed in Missouri (2011040013) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hannibal.

NPPES Registry Identity

NPI1528111325

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSTEVEN D FETZERCredential: CRNA

Location Address3301 BROADWAY STQuincy, IL 62301-3713

Mailing Address3301 Broadway StQuincy, IL 62301-3713 · (217) 222-6550

Phone(217) 222-6550

Sole ProprietorNo

Enumeration DateJanuary 18, 2007

Last NPPES UpdateJanuary 24, 2021

NPPES CertifiedJanuary 24, 2021

✔ NPI 1528111325 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

Licenses✔ Licensed in MO · 2011040013✔ Licensed in IL · 209000132

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.

3301 BROADWAY ST, Quincy, IL 62301

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Secondary Practice Location 1

Location 16000 Hospital Dr, AnesthesiologyHannibal, MO 63401-6887 · Phone (573) 248-1300 · Fax (573) 406-5889

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven D Fetzer Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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.

QUINCY PHYSICIANS & SURGEONS CLINIC, PLCC

Clinic/Center (Birthing)