MICHELE JANE KEITH APN-CRNA
NPI 1861172892
Nurse Anesthetist, Certified Registered in Peoria, IL

Active since July 24, 2023Accepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 9, 2024, Dec 5, 2024, Sep 26, 2024 and 1 more (4 updates tracked since 2023).

About Michele Jane Keith Apn-crna NPPES

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

MICHELE JANE KEITH APN-CRNA (NPI 1861172892) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (209030101) and active in the NPI registry since July 2023. She is affiliated with Saint Francis Medical Center and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861172892
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMICHELE JANE KEITHCredential: APN-CRNA
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address400 N La Salle Dr Apt 1004Chicago, IL 60654-2650 · (214) 417-2691
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 24, 2023
Last NPPES UpdateOctober 13, 20254 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
NPI 1861172892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IL · 209030101
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.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 351572 (NC)
530 NE GLEN OAK AVE, Peoria, IL 61637

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

Michele Jane Keith Apn-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 ID1759812506
PECOS Enrollment IDI20241003001563, I20251205000800, I20251218003390

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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.

Pharmacist
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pediatrics (Pediatric Critical Care Medicine)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Family Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Nurse Practitioner (Family)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Nurse Practitioner
530 NE GLEN OAK AVE
PEORIA, IL 61637
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861172892, enumerated as an "individual" on July 24, 2023.

The provider is located at 530 NE GLEN OAK AVE PEORIA, IL 61637 and the phone number is (309) 655-2000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Michele Keith is affiliated with: SAINT FRANCIS MEDICAL CENTER, MEMORIAL HOSPITAL OF SOUTH BEND and SPECTRUM HEALTH.