PETER JAMES GILLEN CRNA
NPI 1609428978
Nurse Anesthetist, Certified Registered in Springfield, IL
About Peter James Gillen Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER JAMES GILLEN CRNA (NPI 1609428978) is an individual nurse anesthetist, certified registered in Springfield, Illinois, licensed in Illinois (209.019507) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Peter James Gillen 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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Gillen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62781
- Reassigned Medicare billing, Illinois enrollment
- 102 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62781 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, IL 62781
SPRINGFIELD, IL 62781
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 Peter Gillen's NPI number?
The NPI number for Peter Gillen is 1609428978. It was assigned to this individual provider in the NPPES registry on July 16, 2019.
Where is Peter Gillen located?
Peter Gillen practices at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 788-3000.
What is Peter Gillen's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Peter Gillen enrolled in Medicare?
Yes. Peter Gillen 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 organization bills Medicare for Peter Gillen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Gillen reassigns Medicare benefits to Memorial Medical Center (Springfield, IL). The 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 Peter Gillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Peter Gillen affiliated with any hospitals?
According to CMS data, Peter Gillen is affiliated with Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Peter Gillen was last updated on July 16, 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.
# Peter James Gillen, CRNA · NPI 1609428978
Nurse Anesthetist, Certified Registered physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since July 16, 2019.
## Identity
- **NPI:** 1609428978 (Entity type: Individual)
- **Enumerated:** July 16, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209.019507 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 N 1ST ST, Springfield, IL 62781-0001
- **Phone:** (217) 788-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Memorial Medical Center (NPI 1255393112, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 16, 2019
- **Other identifiers:** Other 041.421645 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1609428978) · Data from the CMS NPPES public registry.