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TYSON R ROGERS CRNA
NPI 1790300515
Nurse Anesthetist, Certified Registered in Peoria, IL

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
8600 STATE ROUTE 91 STE 250, PEORIA, IL 61615(309) 692-5393(309) 692-2538 Get Directions Write a Review

NPPES record last updated: February 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tyson R Rogers Crna NPPES

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

TYSON R ROGERS CRNA (NPI 1790300515) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (209021381) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2020).

NPPES Registry Identity

NPI1790300515
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTYSON R ROGERSCredential: CRNA
Location Address8600 STATE ROUTE 91 STE 250Peoria, IL 61615-7831
Mailing Address8600 State Route 91 Ste 250Peoria, IL 61615-7831 · (309) 692-5393 · Fax (309) 692-2538
Phone(309) 692-5393
Fax(309) 692-2538
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2020
Enumeration DateJune 9, 2020
Last NPPES UpdateFebruary 29, 2024
NPPES CertifiedFebruary 29, 2024
✔ NPI 1790300515 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 · 209021381
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyson R Rogers 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 ID1052737285
PECOS Enrollment IDI20200818002094
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

4

Medicare enrollment records show Tyson Rogers reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
Same address
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
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
Osf Healthcare System
33 mi
Rural Health
1051 W SOUTH ST
Kewanee, IL 61443
  • Reassigned Medicare billing, Illinois enrollment
  • 183 clinicians in this Medicare group
NPI 1427475177 (309) 852-7700
North American Partners In Anesthesia (illinois), LLC
124 mi
Anesthesiology
3 ERIE CT
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1699032524 (315) 413-5229

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 3

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 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.
22 services22 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
19 services19 patients
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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean 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 Tyson Rogers's NPI number?

The NPI number for Tyson Rogers is 1790300515. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Tyson Rogers located?

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

What is Tyson Rogers's specialty?

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

Is Tyson Rogers enrolled in Medicare?

Yes. Tyson Rogers 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 Tyson Rogers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Rogers reassigns Medicare benefits to 4 organizations: Osf Multi-Specialty Group (Peoria, IL), Associated Anesthesiologists, S.C. (Peoria, IL), Osf Healthcare System (Kewanee, IL) and North American Partners In Anesthesia (illinois), LLC (Oak Park, 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 Tyson Rogers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Tyson Rogers affiliated with any hospitals?

According to CMS data, Tyson Rogers is affiliated with St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Tyson Rogers was last updated on February 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.