Active NPI
Nolan R Peterson, CRNA
- Certified Registered Nurse Anesthetist
- Lincoln, NE
National Provider Identifier
1134063522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 102006
- Practice address
- 2900 S 70TH Street, Suite # 250
Lincoln, NE 68506-3693 - Phone
- (402) 489-4186
- Fax
- (402) 489-5279
- NPI assigned
- Apr 16, 2026
- 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 | 102006 | NE | Primary |
Addresses
Primary practice location
2900 S 70TH Street, Suite # 250
Lincoln, NE 68506-3693
Mailing address
2900 S 70TH Street, Suite # 250
Lincoln, NE 68506-3693
Phone (402) 489-4186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260605003753 | NE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6204307697 |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2900 S 70TH St
Suite 250
Lincoln, NE 68506-3693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102006 | NE | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Anesthesiologists PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Lincoln, NE
- NPI 1972674604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1134063522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S 70TH STREET, SUITE # 250",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063693",
"telephone_number": "402-489-4186",
"fax_number": "402-489-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S 70TH STREET, SUITE # 250",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685063693",
"telephone_number": "402-489-4186",
"fax_number": "402-489-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "NOLAN",
"middle_name": "R",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-16",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "102006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.