What is Jeffry Peterson's NPI number?

Jeffry Peterson's National Provider Identifier (NPI) is 1164569729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeffry Peterson's specialty?

Jeffry Peterson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).

Where is Jeffry Peterson located?

Jeffry Peterson's practice location on file with NPPES is 10117 Pine Crest Rd, Red Bud, IL 62278-4458.

What is Jeffry Peterson's phone number?

The practice phone number listed in the NPPES registry for Jeffry Peterson is (618) 282-2872.

Does Jeffry Peterson accept Medicare?

Jeffry Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Is Jeffry Peterson's NPI active?

Yes — Jeffry Peterson's NPI (1164569729) is active in the NPPES registry as of the last update on 2026-05-29.

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Jeffry Peterson, CRNA

NPI 1164569729 · Certified Registered Nurse Anesthetist · Red Bud, IL

Jeffry Peterson, CRNA is a Certified Registered Nurse Anesthetist provider in Red Bud, IL (NPI 1164569729).

Provider details

NPI number: 1164569729
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Credential: CRNA
Sex: Male
Sole proprietor: No
License: 3002489 (KY)

Practice location

10117 Pine Crest Rd

Red Bud, IL 62278-4458

Phone: (618) 282-2872

Street-level locationGet directions

More IL providers

Mailing address

10117 Pine Crest Rd

Red Bud, IL 62278-4458

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense 3002489 (KY)
Physician Assistants & Advanced Practice Nursing Providers
Certified Registered Nurse Anesthetist367500000XLicense 124294 (MO)
Physician Assistants & Advanced Practice Nursing Providers
Certified Registered Nurse Anesthetist367500000XLicense 209-000383 (IL)
Physician Assistants & Advanced Practice Nursing Providers

Additional practice locations (1)

818 E Broadway St
Sparta, IL 62286-1820
Phone: (618) 443-2177
Fax: (618) 443-1380

Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
19 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
31 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Anesthesia for Other Procedure on Large Bowel Using an Endoscope00811	16	$157
Anesthesia for Lens Surgery00142	15	$129

Typical Medicare-allowed amounts for these services range $129–$157 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Enumerated: 2007-01-31
Last updated: 2026-05-29
Certified: 2026-05-29

Frequently asked questions

What is Jeffry Peterson's NPI number?: Jeffry Peterson's National Provider Identifier (NPI) is 1164569729, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jeffry Peterson's specialty?: Jeffry Peterson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
Where is Jeffry Peterson located?: Jeffry Peterson's practice location on file with NPPES is 10117 Pine Crest Rd, Red Bud, IL 62278-4458.
What is Jeffry Peterson's phone number?: The practice phone number listed in the NPPES registry for Jeffry Peterson is (618) 282-2872.
Does Jeffry Peterson accept Medicare?: Jeffry Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Is Jeffry Peterson's NPI active?: Yes — Jeffry Peterson's NPI (1164569729) is active in the NPPES registry as of the last update on 2026-05-29.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Additional practice locations (1)

Profile Score

What this provider does (Medicare)

Registry dates

Frequently asked questions

Specialties & taxonomies

Additional practice locations (1)

Frequently asked questions

Profile Score

What this provider does (Medicare)