Active NPI
Peter John Fecht, CRNA
- Certified Registered Nurse Anesthetist
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209000285
- Practice address
- 545 Valley View Dr
Moline, IL 61265-6138 - Phone
- (309) 762-5560
- Fax
- (309) 762-7351
- NPI assigned
- Jun 2, 2005
- Last updated
- Feb 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209000285 | IL | Primary |
Addresses
Primary practice location
545 Valley View Dr
Moline, IL 61265-6138
Mailing address
545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344565702 | Medicaid | IL | |
| 430078437 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209000285 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Current | Accepting new patients | |
| Moline Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Osf Healthcare System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McDonough County Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Osf Healthcare System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hammond Henry Dist Hospital | Past | Accepting new patients |
Locations
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Hammond Henry Hospital
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
dba McDonough District Hospital
- Certified Registered Nurse Anesthetist
- Macomb, IL
- NPI 1871704874
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Moline, IL
- NPI 1134683758
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
Nurse Anesthetist, Certified Registered
-
- Medicare Defined Swing Bed Hospital Unit
- Geneseo, IL
- NPI 1740397447
-
- Emergency Medicine Physician
- Macomb, IL
- NPI 1013048982
-
dba MDH Community Pharmacy
- Community/Retail Pharmacy
- Macomb, IL
- NPI 1245098458
-
dba McDonough Medical Group
- Anatomic Pathology & Clinical Pathology Physician
- Macomb, IL
- NPI 1396055869
-
dba McDonough District Hospital
- General Acute Care Hospital
- Macomb, IL
- NPI 1629227665
-
dba McDonough District Hospital
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
dba McDonough District Hospital
- General Acute Care Hospital
- Macomb, IL
- NPI 1790934735
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Osf Holy Family Medical Center
- Critical Access Hospital
- Monmouth, IL
- NPI 1548393184
-
dba Osf Saint Luke Medical Center
- Critical Access Hospital
- Kewanee, IL
- NPI 1871919381
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1144224429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FECHT",
"first_name": "PETER",
"middle_name": "JOHN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209000285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344565702",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "430078437",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.