Individual provider Active NPI

Peter Lin, CRNA

  • Certified Registered Nurse Anesthetist
  • Springfield, MA
National Provider Identifier
1063014512
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN10016487 Issued in MA
Practice address
759 Chestnut St
Springfield, MA 01107-1619
Phone
(413) 795-0754
Fax
(413) 794-5439
NPI assigned
Nov 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 12.009428 CT
Certified Registered Nurse Anesthetist 367500000X RN10016487 MA Primary

Addresses

Primary practice location

759 Chestnut St
Springfield, MA 01107-1619

Mailing address

153 Needletree LN
Glastonbury, CT 06033-3528
Phone (302) 723-3906

Other practice location 1

112 Mansfield Ave
Willimantic, CT 06226-2045
Phone (860) 456-9116

Other practice location 2

45 Salem Tpke
Norwich, CT 06360-6533
Phone (860) 859-9948

Other practice location 3

2400 Tamarack Ave Ste 100
South Windsor, CT 06074-5556
Phone (860) 644-7336

Other practice location 4

580 Cottage Grove Rd
Bloomfield, CT 06002-3088
Phone (860) 242-2193

Other practice location 5

71 Haynes St
Manchester, CT 06040-4131
Phone (860) 646-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NH, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211113000150 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113316142 Reassigns benefits to 4 organizations
I20241223001023 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113316142 Reassigns benefits to 1 organization
I20250210000165 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113316142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians
Baystate Medical Practices IncGroup PAC ID 5991602971, 1,350 clinicians
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians

Practice addresses (Care Compare)

21 Eastern Ave
Worcester, MA 01605-3094
Phone (508) 856-2500

280 Chestnut St
Suite 2
Springfield, MA 01199-1001

300 Western Blvd
Glastonbury, CT 06033-4305
Phone (860) 657-1920

759 Chestnut St
Springfield, MA 01199-1001
Phone (413) 794-5439

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.99 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
78.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.009428CTMDCertified Registered Nurse Anesthetist
RN10016487MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia Connecticut PC CurrentSince Jul 11, 2022 Accepting new patients
Matrix Pathology and Laboratory Services PLLC Current Accepting new patients
Connecticut Gi PLLC CurrentSince Jan 1, 2023 Accepting new patients
Anesthesia Associates of Willimantic PC CurrentSince Jul 28, 2021 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2023 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Pulse Anesthesia Consultants PC Nurse Anesthetist, Certified Registered CurrentSince Dec 14, 2024 Accepting new patients
Baystate Medical Practices, Inc CurrentSince Feb 9, 2026 Accepting new patients
Umass Memorial Medical Group Inc Current Accepting new patients
Catholic Medical Center CurrentSince Oct 18, 2024 Accepting new patients
Litchfield County Gastroenterology Associates, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

580 Cottage Grove Rd
Bloomfield, CT 06002
Phone (860) 243-8709

300 Western Blvd
Glastonbury, CT 06033
Phone (860) 547-0306

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

45 Salem Tpke
Norwich, CT 06360
Phone (860) 423-7558

37 Kennedy Dr
Ste C
Putnam, CT 06260
Phone (860) 423-7558

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

2400 Tamarack Ave
Ste 100
South Windsor, CT 06074
Phone (860) 644-7336

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

112 Mansfield Ave
Willimantic, CT 06226
Phone (830) 423-6410

1185 Main St
Willimantic, CT 06226
Phone (860) 423-7558

1185 Main St
Ste 4
Willimantic, CT 06226
Phone (860) 423-7556

759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297

50 Wason Ave
Fl 2
Springfield, MA 01107
Phone (413) 286-1020

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

21 Eastern Ave
Worcester, MA 01605
Phone (508) 334-8419

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

100 McGregor St
Ste C234
Manchester, NH 03102
Phone (603) 663-6180

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1063014512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 NEEDLETREE LN",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333528",
            "telephone_number": "302-723-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071619",
            "telephone_number": "413-795-0754",
            "fax_number": "413-794-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Mansfield Ave",
            "address_purpose": "LOCATION",
            "city": "Willimantic",
            "state": "CT",
            "postal_code": "062262045",
            "country_code": "US",
            "telephone_number": "860-456-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Salem Tpke",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063606533",
            "country_code": "US",
            "telephone_number": "860-859-9948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Tamarack Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060745556",
            "country_code": "US",
            "telephone_number": "860-644-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Cottage Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "CT",
            "postal_code": "060023088",
            "country_code": "US",
            "telephone_number": "860-242-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Haynes St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060404131",
            "country_code": "US",
            "telephone_number": "860-646-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIN",
        "first_name": "PETER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "12.009428",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN10016487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.

Verify at the official NPI Registry.