Matthew D. Petta, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

60552041 Issued in WA

Practice address

628 Madison St
Port Townsend, WA 98368-4414

Phone

(402) 990-0733

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson County Public Hospital District No 2Group PAC ID 4789593708, 151 clinicians

Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Jefferson County Public Hospital District No 2

  • Critical Access Hospital
  • Port Townsend, WA
  • NPI 1356492953

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Washington Gastroenterology PLLC

  • Gastroenterology Physician
  • Tacoma, WA
  • NPI 1306364401

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Olympic Anesthesia Services, Inc

  • Anesthesiology Physician
  • Bremerton, WA
  • NPI 1275586125

  Multi-Specialty

  Medicare reassignment NPD
• Jefferson County Public Hospital District No 2

  • Urology Physician
  • Port Townsend, WA
  • NPI 1174917033

  Multi-Specialty

  NPD
• Washington Gastroenterology PLLC

  • Clinical Medical Laboratory
  • Federal Way, WA
  • NPI 1467011122
  NPD
• Digestive Disease & Endoscopy Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Silverdale, WA
  • NPI 1306973235
  NPD (past)
• Anesthesia Group of Grand Island PC

  • Pain Medicine (Anesthesiology) Physician
  • Grand Island, NE
  • NPI 1346216793

  Multi-Specialty

  NPD (past)
• Hastings Anesthesiology Associates PC

  • Anesthesiology Physician
  • Hastings, NE
  • NPI 1932100344

  Multi-Specialty

  NPD (past)
• Medical Anesthesia Associates PC

  • Anesthesiology Physician
  • Bellevue, NE
  • NPI 1609155274

  Multi-Specialty

  NPD (past)
• North Platte Nebraska Physician Group LLC

  • Emergency Medicine Physician
  • North Platte, NE
  • NPI 1740465715

  Multi-Specialty

  NPD (past)

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

• Jefferson County Public Hospital District No 2

  • Medicare Defined Swing Bed Hospital Unit
  • Port Townsend, WA
  • NPI 1104950039
  Care Compare affiliation
• Jefferson County Public Hospital District No 2

  • Critical Access Hospital
  • Port Townsend, WA
  • NPI 1356492953
  Care Compare affiliation
• Jefferson County Public Hospital District No 2

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Silverdale, WA
  • NPI 1467664631

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1376569954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 MADISON ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983684414",
            "telephone_number": "402-990-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MADISON ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983684414",
            "telephone_number": "402-990-0733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682443",
            "country_code": "US",
            "telephone_number": "360-385-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTA",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP60548506",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "60552041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376569954",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046617",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Partners in Well-Being, P.C., Inc.
• Jill M Paulk, LICSW
• Peninsula Homecare Cooperative
• Richard Paul Perez, RPT
• Leeann Bridgett Peterson
• Elaine Phillips, ANP
• Angela Michele Pieratt, ARNP
• Jena Leanna Pierce, APRN, PMHNP-BC
• Christa Joy Pierson, LMP
• Elizabeth Piglowski, LMP

• Certified Registered Nurse Anesthetist in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Certified Registered Nurse Anesthetist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.