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

Tracy L. Peterson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1588652440

Tracy L. Peterson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Springfield, Illinois. Qualified in 2004, 22 years ago. Practices with Anesthesiologists of Greater Orlando Inc, a 341-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2005
Specialties on file
2
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

800 E Carpenter St Rm 2K64
Springfield, IL 62769-0001
Phone: (217) 525-5643
Fax: (217) 544-2521
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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 209005309 (IL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 041269645 (IL)

Record details

NPI number1588652440
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Anesthesiologists Of Greater Orlando Inc — 341 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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