Kevin Peterson, - Medicare Certified Registered Nurse Anesthetist (crna) in Minneapolis, MN

Kevin Peterson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Minneapolis, Minnesota. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice University Anesthesia Providers Llc and his current practice location is 500 Harvard St Se, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 273-3000.

Kevin Peterson is licensed to practice in Minnesota (license number 2418) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154972180.

Contact Information

Kevin Peterson,
500 Harvard St Se,
Minneapolis, MN 55455-0363
(612) 273-3000
Not Available

Map and Direction




Provider's Profile

Full NameKevin Peterson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location500 Harvard St Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kevin Peterson graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1154972180
  • Provider Enumeration Date: 09/20/2019
  • Last Update Date: 03/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9032548904
  • Enrollment ID: I20200330001016

Medical Identifiers

Medical identifiers for Kevin Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154972180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 2418 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Anesthesia Providers Llc7315986064250

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kevin Peterson allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Anesthesia Network Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579
Entity NameUniversity Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699711143
PECOS PAC ID: 7315986064
Enrollment ID: O20050502000881

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kevin Peterson,
5309 34th Pl N,
Minneapolis, MN 55422-2819

Ph: (605) 728-7450
Kevin Peterson,
500 Harvard St Se,
Minneapolis, MN 55455-0363

Ph: (612) 273-3000

Reviews and Comments


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Phone: 952-883-7172    Fax: 952-883-5395
Linh Tran Geist, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Asal Salehpoor Driscoll, CRNA
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Medicare: Medicare Enrolled
Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404
Phone: 612-813-6273    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.