TRACY L. PETERSON (NPI# 1588652440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588652440 |
| Entity Type | Individual |
| Full Name | TRACY L. PETERSON |
| Other Name | TRACY L HOCKING |
| Credential | CRNA |
| Practice Address |
800 East Carpenter Street Room 2k64 Springfield IL 62769-0001 |
| Practice Telephone | 2175255643 |
| Practice Fax Number | 2175442521 |
| Mailing Telephone | 2175255643 |
| Mailing Fax Number | 2175442521 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209005309 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 041269645 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Health Center Dr, Mattoon, IL 619384644 | 2172582440 | 2172582186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205245727 | Tracy Peterson Jr. | Community Health Worker | 833 Greenville Rd Ne, Bristolville, OH 44402-9767 | 2014-08-08 |
| 1013356369 | Tracy Peterson | Registered Nurse | 116 N 6th St, Madison, WI 53704-4935 | 2013-06-20 |
| 1093167165 | Tracy Peterson | Physical Therapy Assistant | 500 Harvard St Se, Mayo 450/ Mmc 106, Minneapolis, MN 55455-0363 | 2016-07-12 |
| 1619058740 | Tracy M Peterson | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy, #102, Milwaukee, WI 53215-3677 | 2006-10-17 |
| 1669563136 | Tracy Peterson | Physician Assistant | 1770 Motor Pkwy, Islandia, NY 11749-5260 | 2006-09-27 |
| 1134136419 | Tracy Peterson | Counselor | 614 N 3rd Ave, Wausau, WI 54401-2913 | 2006-08-01 |
| Street Address |
800 EAST CARPENTER STREET ROOM 2K64 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62769-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528056710 | Stuart Hohm | Anesthesiology | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2005-10-11 |
| 1699712661 | Sangamon Associated Anesthesiologists, S.c. | Nurse Anesthetist, Certified Registered | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2006-05-31 |
| 1013961515 | Sangamon Associated Anesthesiologists, S.c. | Anesthesiology | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2006-05-19 |
| 1366409385 | Stacy Bunte | Nurse Anesthetist, Certified Registered | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2006-04-26 |
| 1205818481 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter Street, Springfield, IL 62769-0001 | 2005-11-15 |
| 1255322764 | Carol Ann Goetz | Nurse Practitioner | 800 East Carpenter Street, Springfield, IL 62729 | 2005-11-03 |
| 1649268681 | Randy J. Held | Nurse Anesthetist, Certified Registered | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2005-10-13 |
| 1376531244 | Royceanne Scoville | Nurse Anesthetist, Certified Registered | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2005-10-13 |
| 1326036260 | Xiaolin Wang | Anesthesiology | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2005-10-13 |
| 1871581710 | Kevin B. Post | Nurse Anesthetist, Certified Registered | 800 East Carpenter Street, Room 2k64, Springfield, IL 62769-0001 | 2005-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871041244 | Ejaz Shah | Hospitalist | 800 E Carpenter St, Springfield, IL 62769 | 2016-09-14 |
| 1023564176 | Muhammad Sohail Yousuf | Hospitalist | 800 E Carpenter St, Springfield, IL 62769 | 2016-08-29 |
| 1194191544 | Muhammad Nauman Javed Tarar | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2015-08-19 |
| 1144606583 | Amit Bhandari | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2015-08-08 |
| 1255727673 | Parth Patel | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2015-04-13 |
| 1316353428 | Debdoot Saha | Internal Medicine | 800 E Carpenter St, Springfield, IL 62769 | 2014-07-09 |
| 1689009243 | Lucy Sams | Physical Therapist | 800 E Carpenter St, Springfield, IL 62769 | 2013-09-13 |
| 1326315383 | Qing Yang | Anesthesiology | 800 E Carpenter St, Springfield, IL 62769 | 2011-11-18 |
| 1215259056 | Kimberly K Sauerwein | Nurse Anesthetist, Certified Registered | 800 E Carpenter St, Springfield, IL 62769 | 2010-02-22 |
| 1003045097 | Elijah Kim | Surgery | 800 E Carpenter St, Springfield, IL 62769 | 2009-07-10 |
| Find all providers in zip 62769 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629536271 | Cameron David Hayter | Nurse Anesthetist, Certified Registered | 1951 N Citation Ave, Springfield, MO 65802-5406 | 2019-03-03 |
| 1154886810 | Pioneer Sedation Pllc | Nurse Anesthetist, Certified Registered | 3550 Main St Ste 103, Springfield, MA 01107-1077 | 2019-02-07 |
| 1487158390 | Springfield Or Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1007 Harlow Rd Ste 110, Springfield, OR 97477-7125 | 2018-03-23 |
| 1720325467 | Douglas Hedge Baker II | Nurse Anesthetist, Certified Registered | 100 W North St, Springfield, OH 45504-2547 | 2013-01-15 |
| 1396000816 | Kyle Adam Kirby | Nurse Anesthetist, Certified Registered | 875 E Jackson Rd, Springfield, OH 45502-7403 | 2012-07-10 |
| 1134232077 | Anicia Boutin Young | Nurse Anesthetist, Certified Registered | 55 St George Rd, Springfield, MA 01104 | 2006-08-16 |
| 1669482196 | Leslie Gloe | Nurse Anesthetist, Certified Registered | 5047 S Burrows Ave, Springfield, MO 65810-2054 | 2006-08-08 |
| 1164431805 | William Wynn IIi | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2006-08-05 |
| 1124089669 | Elise B Arnold | Nurse Anesthetist, Certified Registered | 701 N. 1st Street, Springfield, IL 62781-0001 | 2006-03-31 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62769 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.