Peter Matthew Van Dalen

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

255054 Issued in NC

Practice address

204 Shoreside Dr
Lexington, KY 40515-5606

Phone

(919) 592-0101

NPI assigned

Feb 10, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Anesthesia PCGroup PAC ID 7416851597, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116
• Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Valley Anesthesia PC

  • Anesthesiology Physician
  • Salem, VA
  • NPI 1275587115

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Piedmont Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
  • NPI 1962399865

  Single Specialty

  Medicare reassignment NPD
• Raleigh Sedation Associates LLC

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
  • NPI 1639698533

  Single Specialty

  Medicare reassignment NPD
• Triad Sedation Associates, LLC

  • Certified Registered Nurse Anesthetist
  • Winston Salem, NC
  • NPI 1427528595
  Medicare reassignment

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

• Montgomery Regional Hospital Inc

  • General Acute Care Hospital
  • Blacksburg, VA
  • NPI 1275570376
  Care Compare affiliation
• Pulaski Community Hospital Inc

  • General Acute Care Hospital
  • Pulaski, VA
  • NPI 1205882396
  Care Compare affiliation
• Pulaski Community Hospital, Inc.

  • Psychiatric Hospital Unit
  • Pulaski, VA
  • NPI 1477018893
  Care Compare affiliation

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1356095079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 SHORESIDE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155606",
            "telephone_number": "919-592-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SHORESIDE DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405155606",
            "telephone_number": "919-592-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DALEN",
        "first_name": "PETER",
        "middle_name": "MATTHEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "255054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vamc
• Edward Niles Van Auken
• James Van Buren, M.D.
• Reid Van Bussum
• Jamie Kayla Van Cleave, PA
• Lindsey Van Drunen, MD
• Sarah E Van Duser, DPT
• Margot Adriana Van Eck, PT
• Carla Marie Van Hoose, LCSW
• Katherine Alexandra Van Horne, NP

• Certified Registered Nurse Anesthetist in Lexington, KY
• Providers in Lexington, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.