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

Tyson R Rogers, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1790300515

Tyson R Rogers, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Peoria, Illinois. Graduated from Southern Illinois University School of Medicine in 2020, 6 years ago. Practices with North American Partners in Anesthesia Illinois LLC, a 428-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2020
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

8600 State Route 91 Ste 250
Peoria, IL 61615-7831
Phone: (309) 692-5393
Fax: (309) 692-2538
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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 209021381 (IL)

Record details

NPI number1790300515
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 9, 2020
Last updated in NPPESFebruary 29, 2024
Certification dateFebruary 29, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice North American Partners In Anesthesia Illinois Llc — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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