Active NPI
Bruce D McPeters, CRNA
- Certified Registered Nurse Anesthetist
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP60202058
- Practice address
- 3209 S 23Rd St
Ste 340
Tacoma, WA 98405-1602 - Phone
- (253) 272-5127
- NPI assigned
- Apr 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN096224 | GA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP60202058 | WA | Primary |
Addresses
Primary practice location
3209 S 23Rd St
Ste 340
Tacoma, WA 98405-1602
Mailing address
15118 Starr PL SE
Olalla, WA 98359-9549
Phone (912) 673-6318
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8885529 | Other | WA | MDCR GRP PTAN |
| G8885530 | Other | WA | MDCR GRP PTAN (P) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3209 S 23Rd St
Suite 200
Tacoma, WA 98405-1602
Phone (253) 272-5127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| Washington Gastroenterology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Washington Gastroenterology PLLC | Current | Accepting new patients | |
| North Florida Anesthesia Consultants, Inc. | Past | Accepting new patients | |
| Memorial Health Anesthetists | Past | Accepting new patients | |
| Anesthesia Associates of Savannah ,PA | Past | Accepting new patients | |
| Alta Anesthesia Associates of Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesiology Consultants PC | Past | Accepting new patients |
Locations
34503 9th Ave S
Ste 240
Federal Way, WA 98003
Phone (253) 838-9839
2727 Hollycroft St
Ste 480
Gig Harbor, WA 98335
Phone (253) 858-0112
17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660
11216 Sunrise Blvd E
Ste 3-201
Puyallup, WA 98374
Phone (253) 770-3700
1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933
1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933
2202 S Cedar St
Ste 330
Tacoma, WA 98405
Phone (253) 503-2547
3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508
3209 S 23rd St
Ste 340
Tacoma, WA 98405
Phone (253) 272-8148
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Tacoma, WA
- NPI 1306364401
Nurse Anesthetist, Certified Registered
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1245265826
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1467011122
-
- Anesthesiology Physician
- Brunswick, GA
- NPI 1275504771
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487663688
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1275521668
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1770664617
-
- Anesthesiology Physician
- St Augustine, FL
- NPI 1114892361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483574400000",
"number": "1346362944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15118 STARR PL SE",
"city": "OLALLA",
"state": "WA",
"postal_code": "983599549",
"telephone_number": "912-673-6318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 S 23RD ST",
"address_2": "STE 340",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051602",
"telephone_number": "253-272-5127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPETERS",
"first_name": "BRUCE",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2017-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN096224",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP60202058",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR GRP PTAN",
"identifier": "G8885529",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDCR GRP PTAN (P)",
"identifier": "G8885530",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.