Individual provider Active NPI

Frederick J Peterson, CRNA

  • Certified Registered Nurse Anesthetist
  • Philadelphia, PA
National Provider Identifier
1407014228
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN531851 Issued in PA
Practice address
51 N 39TH St
Philadelphia, PA 19104-2640
Phone
(215) 662-8244
NPI assigned
May 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN531851 PA Primary

Addresses

Primary practice location

51 N 39TH St
Philadelphia, PA 19104-2640

Mailing address

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-8244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, NJ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080827000711 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476629429 Reassigns benefits to 5 organizations
I20130221000182 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476629429 Reassigns benefits to 2 organizations
I20130516000147 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 3476629429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Pennsylvania LLC 65 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

1500 Lansdowne Ave
Darby, PA 19023-1291
Phone (610) 237-4000

454 Enterprise Dr
Royersford, PA 19468-1200
Phone (610) 495-3330

Hospital & facility affiliations

  • Physicians Care Surgical Hospital Hospital, Royersford, PA, CCN 390324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN531851PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Society Hill Anesthesia Consultants of New Jersey, PC CurrentSince Apr 1, 2013 Accepting new patients
Tower Health Medical Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Nov 1, 2021 Accepting new patients
Atlantic Medical Specialists, LLC CurrentSince Oct 1, 2012 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Nov 1, 2021 Accepting new patients
Tower Health Medical Group CurrentSince Mar 16, 2020 Accepting new patients
Jr Anesthesia LLC CurrentSince Jun 1, 2019 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2023 Accepting new patients
Cdeu Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 30, 2019 Accepting new patients
Tower Health Medical Group Nurse Anesthetist, Certified Registered CurrentSince Mar 16, 2020 Accepting new patients
Greater Philadelphia Anesthesia Services PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

644 S Queen St
Ste 105
Dover, DE 19904
Phone (302) 422-3393

742 S Governors Ave
Ste 2
Dover, DE 19904
Phone (302) 678-0725

408 Route 70 E
Cherry Hill, NJ 08034
Phone (267) 322-7700

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202

500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1407014228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 N 39TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042640",
            "telephone_number": "215-662-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "FREDERICK",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN531851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.