Active NPI
Christopher J Peterson, CRNA
- Certified Registered Nurse Anesthetist
- Coon Rapids, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6678
- Practice address
- 8990 Springbrook Dr NW
Coon Rapids, MN 55433-5850 - Phone
- (763) 398-0099
- Fax
- (763) 398-0124
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R 141490-9 | MN | |
| Certified Registered Nurse Anesthetist | 367500000X | 6678 | NC | Primary |
Addresses
Primary practice location
8990 Springbrook Dr NW
Coon Rapids, MN 55433-5850
Mailing address
7455 Fern CT
Loretto, MN 55357-4713
Phone (763) 498-7615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 538381100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Pratt St
Durham, NC 27705-3976
Phone (919) 668-1002
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29 | MN | MD | Clinical Social Worker |
| 6678 | NC | MD | Speech-Language Pathologist |
| R 141490-9 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Duke University Health System, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Raleigh Sedation Associates LLC | Anesthesiology | Current | Accepting new patients |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Anesthesiology | Current | Accepting new patients |
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients |
Locations
1505 SW Cary Pkwy
Ste 202
Cary, NC 27511
Phone (919) 249-5087
1505 SW Cary Pkwy
Ste 100
Cary, NC 27511
Phone (919) 415-1360
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
2400 Pratt St
Durham, NC 27705
Phone (919) 668-1002
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2417 Atrium Dr
Ste 101
Raleigh, NC 27607
Phone (919) 249-5216
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
8300 Health Park
Ste 210
Raleigh, NC 27615
Phone (919) 249-5902
3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705
Organizations & group practices 8
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.
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Anesthesiology
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Certified Registered Nurse Anesthetist
- Raleigh, NC
- NPI 1639698533
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
-
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Social Worker
- Durham, NC
- NPI 1497912232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1871551960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 FERN CT",
"city": "LORETTO",
"state": "MN",
"postal_code": "553574713",
"telephone_number": "763-498-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 SPRINGBROOK DR NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554335850",
"telephone_number": "763-398-0099",
"fax_number": "763-398-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R 141490-9",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "538381100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.