Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristopher D Deters, APRN, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417583501

Kristopher D Deters, APRN, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Urbana, Illinois. Qualified in 2019, 7 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3303
Fax: (217) 383-3265
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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 209021043 (IL)

Record details

NPI number1417583501
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , CRNA
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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