ANDREW JAMES STANDEFER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1295358810

ANDREW JAMES STANDEFER (CRNA) is a healthcare provider. based in Alton, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 041.448411 (IL). The NPI Number for ANDREW JAMES STANDEFER (CRNA) is 1295358810

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW JAMES STANDEFER (CRNA)
NPI
1295358810
Phone
(618) 463-7311
Address
1 MEMORIAL DR
Enumeration Date
19 May 2020
Last Update Date
25 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184986402
Graduation Year
2020 (6 years ago)
PAC ID
5597180539
Group Practice PAC ID
4587650445
Professional Enrollment ID
I20200807000262
Address ID
IL620522028JE400XXRDXX400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for ANDREW JAMES STANDEFER (CRNA)

  • 1 MEMORIAL DR

    ALTON, IL 620026722

    Phone: (618) 463-7311

    Type: Location

  • 400 Maple Summit Rd

    Jerseyville, IL 620522028

    Phone: (618) 498-8420

    Type: Location

  • 1206 MORELAND CT

    MORO, IL 620671559

    Phone: (618) 210-1594

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200807000262ICertified Registered Nurse Anesthetist (Crna)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2626$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00812Anesthesia for exam of colon using an endoscope1717$0
01402Anesthesia for procedure for total knee joint replacement1313$0
00813Anesthesia for procedure on small and large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587650445View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
-NY
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Cardiovascular Disease (Cardiology)MO
G A S T R O E N T E R O L O G YMO
-NC
-IL
-KS

Reviews

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Frequently asked questions

Does ANDREW JAMES STANDEFER (CRNA) have a public NPI I can cite?
Public records show ANDREW JAMES STANDEFER (CRNA) under NPI 1295358810.
Is ANDREW JAMES STANDEFER (CRNA)'s NPI status active today?
Active status means ANDREW JAMES STANDEFER (CRNA)'s NPI record is not deactivated in the public file.
What services align with ANDREW JAMES STANDEFER (CRNA)'s listing?
ANDREW JAMES STANDEFER (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is ANDREW JAMES STANDEFER (CRNA) tied to Alton, Illinois?
If you are local to Alton, Illinois, ANDREW JAMES STANDEFER (CRNA) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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