Active NPI
Frederick J Peterson, CRNA
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN531851
- 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
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 | 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, NJ
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN531851 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Society Hill Anesthesia Consultants of New Jersey, PC | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Atlantic Medical Specialists, LLC | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Jr Anesthesia LLC | Current | Accepting new patients | |
| Northstar Anesthesia of Pennsylvania, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Cdeu Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Tower Health Medical Group | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Philadelphia Anesthesia Services PLLC | Current | 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.
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Nurse Anesthetist, Certified Registered, PA
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1497356034
PA
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
PA
-
- Certified Registered Nurse Anesthetist
- Dover, DE
- NPI 1003204074
DE, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cherry Hill, NJ
- NPI 1396797445
NJ
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Anesthesiology Physician
- Hershey, PA
- NPI 1790759280
-
- Certified Registered Nurse Anesthetist
- West Reading, PA
- NPI 1447272224
Nurse Anesthetist, Certified Registered
-
- Surgery Physician
- Wyomissing, PA
- NPI 1831954353
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Royersford, PA
- NPI 1265664544
Hospital
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.