Nicole R Peralta, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

NA-10544 Issued in OH

Practice address

1236 Huffman Mill Rd
Suite 2000
Burlington, NC 27215-8700

Phone

(336) 585-1770

NPI assigned

Feb 5, 2009

Sex

Female

Sole proprietor

No

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 NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

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.

• Duke University Health System, Inc.

  • Certified Registered Nurse Anesthetist
  • Durham, NC
  • NPI 1558392977

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Anesthesiology, NC

  Medicare reassignment NPD
• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369

  NC

  Medicare reassignment NPD
• Regional Anesthesia, PLLC

  • Specialist
  • Durham, NC
  • NPI 1952486946

  NC

  Medicare reassignment NPD
• Duke University Health System, Inc.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Durham, NC
  • NPI 1427187525
  Care Compare group NPD
• Duke University Health System Inc

  • Specialty Pharmacy
  • Durham, NC
  • NPI 1053682146
  Care Compare group
• Duke University Health System Inc

  • Diagnostic Radiology Physician
  • Morrisville, NC
  • NPI 1417540337
  Care Compare group
• Duke University Health System Inc

  • Diagnostic Radiology Physician
  • Wake Forest, NC
  • NPI 1619431277
  Care Compare group
• Duke University Health System Inc

  • Diagnostic Radiology Physician
  • Wake Forest, NC
  • NPI 1619462694
  Care Compare group
• Duke University Health System Inc

  • Diagnostic Radiology Physician
  • Cary, NC
  • NPI 1780097618
  Care Compare group
• Duke University Health System Inc

  • Psychiatric Hospital Unit
  • Durham, NC
  • NPI 1811996820
  Care Compare group
• Duke University Health System, Inc

  • Specialty Pharmacy
  • Durham, NC
  • NPI 1235729948
  Care Compare group

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1457590044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SPRING FOREST RD",
            "address_2": "SUITE130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276162880",
            "telephone_number": "919-873-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 HUFFMAN MILL RD",
            "address_2": "SUITE 2000",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158700",
            "telephone_number": "336-585-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-05",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "NA-10544",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "227618",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "145590044",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457590044",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peerlink Recovery 1 LLC
• Peerlink Recovery LLC
• Sherryl Ann Pelkey, AUD
• Sarah Christine Pelletier, AUD
• Julie Pender, FNP
• Angiemil Perez Pena, M.S., NCC, LPCA
• Rocio Perez, LCMHC ASSOCIATE
• Kersten Perry, LCMHCA
• Melisa Wallace Perry, FNP-C
• Perspectives Counseling & Consulting, Inc.

• All providers in Burlington, NC
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.