Active NPI
Susan Rettig, CRNA
- Certified Registered Nurse Anesthetist
- Pekin, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Practice address
- 600 S 13TH St
Pekin, IL 61554-4936 - Phone
- (309) 353-0406
- Fax
- (309) 347-1240
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- 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 | IL | Primary |
Addresses
Primary practice location
600 S 13TH St
Pekin, IL 61554-4936
Mailing address
346 E Eller Dr
East Peoria, IL 61611-5417
Phone (309) 282-6417
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4281
5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041267358 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| McDonough County Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| McDonough County Hospital District | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| McDonough County Hospital District | Current | Accepting new patients | |
| Decatur Memorial Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Associated Anesthesiologists, S.C. | Past | Accepting new patients | |
| Decatur Memorial Hospital | Past | Accepting new patients |
Locations
2300 N Edward St
Ste 1910
Decatur, IL 62526
Phone (217) 876-2645
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
101 S Major St
Eureka, IL 61530
Phone (309) 268-2172
525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
1001 Main St
Ste 500A
Peoria, IL 61606
Phone (309) 672-4980
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Certified Registered Nurse Anesthetist
- Macomb, IL
- NPI 1871704874
Nurse Anesthetist, Certified Registered
-
- Emergency Medicine Physician
- Macomb, IL
- NPI 1013048982
-
- Community/Retail Pharmacy
- Macomb, IL
- NPI 1245098458
-
- Anatomic Pathology & Clinical Pathology Physician
- Macomb, IL
- NPI 1396055869
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1629227665
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1669420766
-
- General Acute Care Hospital
- Macomb, IL
- NPI 1790934735
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1164477725
-
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- General Acute Care Hospital
- Pekin, IL
- NPI 1245227479
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386738268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 E ELLER DR",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616115417",
"telephone_number": "309-282-6417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S 13TH ST",
"city": "PEKIN",
"state": "IL",
"postal_code": "615544936",
"telephone_number": "309-353-0406",
"fax_number": "309-347-1240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETTIG",
"first_name": "SUSAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pekin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.