Active NPI
Tyson R Rogers, CRNA
- Certified Registered Nurse Anesthetist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209021381
- Practice address
- 8600 State Route 91 Ste 250
Peoria, IL 61615-7831 - Phone
- (309) 692-5393
- Fax
- (309) 692-2538
- NPI assigned
- Jun 9, 2020
- 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 | 209021381 | IL | Primary |
Addresses
Primary practice location
8600 State Route 91 Ste 250
Peoria, IL 61615-7831
Mailing address
8600 State Route 91 Ste 250
Peoria, IL 61615-7831
Phone (309) 692-5393
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
- Southern Illinois University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
Hospital & facility affiliations
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209021381 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Associated Anesthesiologists, S.C. | Current | Accepting new patients | |
| Osf Healthcare System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Associated Anesthesiologists, SC | Current | Accepting new patients | |
| Osf Healthcare System | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Osf Healthcare System | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
2200 E Washington St
Bloomington, IL 61701
Phone (309) 662-3311
3333 N Seminary St
Galesburg, IL 61401
Phone (309) 344-3161
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414
530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
8600 State Route 91
Ste 250
Peoria, IL 61615
Phone (309) 692-5393
6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1558306480
-
- Certified Registered Nurse Anesthetist
- Monmouth, IL
- NPI 1811016124
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Anesthesiology Physician
- Peoria, IL
- NPI 1023612082
-
- General Acute Care Hospital
- Dixon, IL
- NPI 1508683590
-
- Anesthesiology Physician
- Kewanee, IL
- NPI 1932526621
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1154908929
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1790300515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 STATE ROUTE 91 STE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157831",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 STATE ROUTE 91 STE 250",
"city": "PEORIA",
"state": "IL",
"postal_code": "616157831",
"telephone_number": "309-692-5393",
"fax_number": "309-692-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "TYSON",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-09",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209021381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.