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

Mr. Derek J Humphres, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1942981766

Mr. Derek J Humphres, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Peoria, Illinois. Qualified in 2022, 4 years ago. Practices with Associated Anesthesiologists SC, a 151-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2023
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone: (309) 692-5393
Fax: (309) 683-9998
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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 209025607 (IL)

Record details

NPI number1942981766
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Associated Anesthesiologists Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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