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KATELYN RUPERT CRNA
NPI 1952803355
Nurse Anesthetist, Certified Registered in Peoria, IL

Active since March 02, 2018PECOS 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: March 2, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katelyn Rupert Crna NPPES

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

KATELYN RUPERT CRNA (NPI 1952803355) is an individual nurse anesthetist, certified registered in Peoria, Illinois, licensed in Illinois (209-017291) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952803355
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKATELYN RUPERTCredential: 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 CMSOtherGraduated 2017
Enumeration DateMarch 2, 2018
✔ NPI 1952803355 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 · 209-017291
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

Katelyn Rupert 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 ID4688937634
PECOS Enrollment IDI20180404002296
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 Katelyn Rupert reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

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
Methodist Medical Center Of Illinois
7.4 mi
Emergency Care
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 67 clinicians in this Medicare group
NPI 1265966048 (309) 672-5522
Principle Anesthesia PLLC
16 mi
Nurse Anesthetist, Certified Registered
430 MAXINE DR
Morton, IL 61550
  • Reassigned Medicare billing, Illinois enrollment
  • 6 clinicians in this Medicare group
NPI 1063128049 (309) 495-4520
Carle Health Medical Group
90 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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.

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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

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

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 Katelyn Rupert's NPI number?

The NPI number for Katelyn Rupert is 1952803355. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Katelyn Rupert located?

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

What is Katelyn Rupert's specialty?

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

Is Katelyn Rupert enrolled in Medicare?

Yes. Katelyn Rupert 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 Katelyn Rupert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Rupert reassigns Medicare benefits to 4 organizations: Associated Anesthesiologists, S.C. (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL), Principle Anesthesia PLLC (Morton, IL) and Carle Health Medical Group (Urbana, 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 Katelyn Rupert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Katelyn Rupert affiliated with any hospitals?

According to CMS data, Katelyn Rupert is affiliated with Proctor Hospital and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Katelyn Rupert was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.