Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samantha Mae Aufderhaar, DNP, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1104603695

Dr. Samantha Mae Aufderhaar, DNP, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Peoria, Illinois. Qualified in 2023, 3 years ago. Practices with Associated Anesthesiologists SC, a 151-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 655-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 145026 (WI)

Record details

NPI number1104603695
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , CRNA
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Associated Anesthesiologists Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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