Gidget Kellenberger, - Medicare Certified Registered Nurse Anesthetist (crna) in Peoria, IL

Gidget Kellenberger, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Peoria, Illinois. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Methodist Medical Center Of Illinois and her current practice location is 221 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 672-5522.

Gidget Kellenberger is licensed to practice in Illinois (license number 209007540) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1619114493.

Contact Information

Gidget Kellenberger,
221 Ne Glen Oak Ave,
Peoria, IL 61636-0001
(309) 672-5522
Not Available

Map and Direction




Provider's Profile

Full NameGidget Kellenberger
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gidget Kellenberger graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1619114493
  • Provider Enumeration Date: 01/15/2009
  • Last Update Date: 05/28/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4880744648
  • Enrollment ID: I20090617000050

Medical Identifiers

Medical identifiers for Gidget Kellenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619114493NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 209007540 (Illinois)Primary
163W00000XRegistered Nurse 041304217 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Proctor HospitalPeoria, ILHospital
Methodist Medical Center Of IllinoisPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Methodist Medical Center Of Illinois1355259714246

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gidget Kellenberger allows following entities to bill medicare on her behalf.
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164474755
PECOS PAC ID: 1355259714
Enrollment ID: O20070924000481

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gidget Kellenberger is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gidget Kellenberger,
5271 Reliable Pkwy,
Chicago, IL 60686-0001

Ph: (309) 672-4809
Gidget Kellenberger,
221 Ne Glen Oak Ave,
Peoria, IL 61636-0001

Ph: (309) 672-5522

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Peoria, IL

Melissa Terhark, C.R.N.A
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 8600 North State Route 91, Suite #250, Peoria, IL 61615
Phone: 309-692-5394    Fax: 309-692-2538
Bradley Alan Kirkenir, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 7309 N Knoxville Ave, Peoria, IL 61614
Phone: 217-528-7541    
Mathew J Maupin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5401 N. Knoxville Suite 416, Peoria, IL 61528
Phone: 309-692-7246    Fax: 309-692-7226
Sandra M Krahn, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5522    
Adam Randel Osborne, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5550    
Dr. Samantha Mae Aufderhaar, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2000    
Mr. Gary L Boniger, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 8600 N State Route 91, Suite 250, Peoria, IL 61615
Phone: 309-692-5393    Fax: 309-692-2538

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.