Active NPI
Cameron Scott Peterson, CRNA
- Certified Registered Nurse Anesthetist
- Carlsbad, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CRNA-01538
- Practice address
- 2430 W Pierce St
Carlsbad, NM 88220-3553 - Phone
- (575) 887-4100
- NPI assigned
- Dec 15, 2017
- Last updated
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | CRNA-01538 | NM | Primary |
Addresses
Primary practice location
2430 W Pierce St
Carlsbad, NM 88220-3553
Mailing address
4201 Arcadia PT
Las Cruces, NM 88011-4384
Phone (801) 367-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04536819 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2550 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (800) 421-8274
2560 Samaritan Dr
Las Cruces, NM 88001-1170
Phone (575) 800-3868
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.5 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resource Anesthesiology Associates of NM Inc | Current | Accepting new patients | |
| Three Crosses Regional Hospital LLC | Current | Accepting new patients | |
| Main Street Anesthesia of New Mexico, LLC | Current | Accepting new patients |
Locations
2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
2560 Samaritan Dr
Las Cruces, NM 88001
Phone (575) 800-3868
117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Las Cruces, NM
- NPI 1487248050
-
- Anesthesiology Physician
- Albuquerque, NM
- NPI 1275010985
-
- Anesthesiology Physician
- Farmington, NM
- NPI 1386929644
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1760020044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1053827832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ARCADIA PT",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114384",
"telephone_number": "801-367-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 W PIERCE ST",
"city": "CARLSBAD",
"state": "NM",
"postal_code": "882203553",
"telephone_number": "575-887-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CAMERON",
"middle_name": "SCOTT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-15",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NM",
"license": "CRNA-01538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04536819",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, NM
- Pecos Valley of New Mexico, LLC
- Pecos Valley of New Mexico, LLC
- Leonel Perez-Limonte, MD, MS-HQPS, MHL
- Caroline Marie Perkins, RN
- Lisa J Perkowski, MD P.C.
- Mitchell Ryan Petty
- PF Development 7, LLC (IntegraCare of East New Mexico)
- PF Development 7, LLC (IntegraCare of East New Mexico)
- Vy Pham
- Cindy Phillippi, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.