Mr Kevin Warren Peterson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Marshall, MN

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Mr Kevin Warren Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Marshall, Minnesota. His current practice location is 300 S Bruce St, Marshall, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 532-9661.

Mr Kevin Warren Peterson is licensed to practice in Minnesota (license number R-16439-8) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912971581.

Contact Information

Mr Kevin Warren Peterson, CRNA
300 S Bruce St,
Marshall, MN 56258-1934
(507) 532-9661
Not Available

Map and Direction




Provider's Profile

Full NameMr Kevin Warren Peterson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location300 S Bruce St, Marshall, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912971581
  • Provider Enumeration Date: 02/13/2006
  • Last Update Date: 09/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7719954270
  • Enrollment ID: I20050112000041

Medical Identifiers

Medical identifiers for Mr Kevin Warren Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912971581NPI-NPPES
026667100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R-16439-8 (Minnesota)Primary

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. Mr Kevin Warren Peterson allows following entities to bill medicare on his behalf.
Entity NamePipestone County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447300587
PECOS PAC ID: 0840109682
Enrollment ID: O20031105000578
Entity NameAvera Marshall
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568401016
PECOS PAC ID: 5799695227
Enrollment ID: O20031106000219
Entity NameCounty Of Murray
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679565287
PECOS PAC ID: 7810806064
Enrollment ID: O20040211000401
Entity NameGlacial Ridge Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255348223
PECOS PAC ID: 5294789194
Enrollment ID: O20050719000315
Entity NameFamily Surgery Center, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1831200120
PECOS PAC ID: 8022043785
Enrollment ID: O20050930000467
Entity NameGlacial Ridge Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538178520
PECOS PAC ID: 5294789194
Enrollment ID: O20061104000464
Entity NamePipestone County Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1598751240
PECOS PAC ID: 0840109682
Enrollment ID: O20061121000734
Entity NameSouthwest Minnesota Surgical Center, Inc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1407023161
PECOS PAC ID: 6305919408
Enrollment ID: O20080723000290
Entity NameAvera Granite Falls
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700429610
PECOS PAC ID: 1456784560
Enrollment ID: O20191204000103
Entity NameAvera Granite Falls
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700429644
PECOS PAC ID: 1456784560
Enrollment ID: O20200106000646

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. Mr Kevin Warren 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
Mr Kevin Warren Peterson, CRNA
3267 230th Ave,
Ghent, MN 56239-1104

Ph: (507) 828-4525		Mr Kevin Warren Peterson, CRNA
300 S Bruce St,
Marshall, MN 56258-1934

Ph: (507) 532-9661

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Marshall, MN

Mr. Richard John Jueneman, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 300 S Bruce St, Marshall, MN 56258
Phone: 507-537-9114    Fax: 507-537-9272
Jason D Klein, CRNA, MS
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1521 Carlson St, Marshall, MN 56258
Phone: 507-532-1901    
Annie Marie Molseed, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 300 S Bruce St, Marshall, MN 56258
Phone: 507-532-9661    
Wendy A Vanderkooi, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 300 S Bruce St, Marshall, MN 56258
Phone: 507-537-9114    Fax: 507-537-2757
Kaci Rainey,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 300 S Bruce St, Marshall, MN 56258
Phone: 507-532-9661    
Kyle Wong, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 300 S Bruce St, Marshall, MN 56258
Phone: 507-532-9661    

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.