Jeffry Lynes Peterson, CRNA
Certified Registered Nurse Anesthetist · Red Bud, IL
Jeffry Lynes Peterson, CRNA is a certified registered nurse anesthetist with a practice address in Red Bud, Illinois, and NPI 1164569729, issued on Jan 31, 2007. Check the license (Illinois 209-000383, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jeffry Lynes Peterson
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 209-000383 IL
3002489 KY
124294 MO
Self-reported in NPPES; status is on the state search - Practice location
- 10117 Pine Crest RD, Red Bud, IL 62278
- Phone
- (618) 282-2872
- Enumerated
- Jan 31, 2007
- Record last updated
- May 29, 2026
- Medicaid ID
- 7424890700 KY
- Medicare enrollment
- Enrolled (PECOS I20120927000800); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,444 in Illinois → Look up another NPI →
Verify Jeffry Lynes Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this profession
Search for license 209-000383Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
One hospital affiliation
- Memorial HospitalChester, IL · Acute Care Hospitals5 of 5 stars
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Jeffry Lynes Peterson among 2,444 certified registered nurse anesthetist records in Illinois
Jeffry Lynes Peterson, CRNA is one of 2,444 certified registered nurse anesthetist records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 27% of them.
- NPI issued2007 · 27% of these records are older, 66% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated1997 · median 2015 among the 1,926 with a school on file
- Record last updated2026 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 certified registered nurse anesthetist records list a practice address in Red Bud
They are 2 of the 89 NPPES records with a practice address in Red Bud, and 2,444 certified registered nurse anesthetist records in Illinois.
All 2,444 in Illinois → Every provider in Red Bud → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Earl Draves, CRNARed Bud, IL 622781225032816
- Donald Renk, C.R.N.A.Pinckneyville, IL 622741811175870
- Kermit Cox, CRNASparta, IL 622861225096308
- Linda Passini, CRNASparta, IL 622861427167238
- Vonda Walker, CRNASparta, IL 622861679674857
- Amanda BurgesenO Fallon, IL 622691568084903
- Kristopher Clements, CRNAO Fallon, IL 622691184022352
- Austin CookO Fallon, IL 622691609468891
Common questions
What is Jeffry Lynes Peterson, CRNA's NPI number?
Jeffry Lynes Peterson, CRNA's National Provider Identifier (NPI) is 1164569729, issued on Jan 31, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jeffry Lynes Peterson, CRNA located?
The NPPES record lists a practice address at 10117 Pine Crest RD, Red Bud, IL, 62278. Phone: (618) 282-2872. Providers update this record themselves, so call before visiting.
How can I verify Jeffry Lynes Peterson, CRNA's license?
NPPES lists Illinois license number 209-000383, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
What is Jeffry Lynes Peterson, CRNA's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.