MATTHEW PETERSON
NPI 1013610583
Nurse Anesthetist, Certified Registered in Winona, MN

Active since March 23, 2023Accepts Medicare Assignment
855 MANKATO AVE, WINONA, MN 55987(507) 454-3650 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW PETERSON (NPI 1013610583) is an individual nurse anesthetist, certified registered in Winona, Minnesota, licensed in Minnesota (2854) and active in the NPI registry since March 2023. He is affiliated with Winona Health Services and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013610583
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMATTHEW PETERSON
Location Address855 MANKATO AVEWinona, MN 55987-4868
Mailing Address811 W Mark StWinona, MN 55987-2635 · (218) 391-9687
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 23, 2023
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
NPI 1013610583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MN · 2854
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

855 MANKATO AVE, Winona, MN 55987

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Matthew Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062866361
PECOS Enrollment IDI20230920001671

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
28 services28 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winona Health Services

Acute Care Hospitals · Winona, MN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240044
Location855 Mankato AvenueWinona, MN 55987 · Winona County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55987 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
855 MANKATO AVE
WINONA, MN 55987
Nurse Anesthetist, Certified Registered
855 MANKATO AVE
WINONA, MN 55987
Nurse Practitioner (Family)
855 MANKATO AVE
WINONA, MN 55987
Nurse Practitioner (Psychiatric/Mental Health)
855 MANKATO AVE
WINONA, MN 55987
Internal Medicine
855 MANKATO AVE
WINONA, MN 55987
Optometrist
855 MANKATO AVE
WINONA, MN 55987
Social Worker
855 MANKATO AVE
WINONA, MN 55987
Emergency Medicine
855 MANKATO AVE
WINONA, MN 55987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Peterson's NPI number?

The NPI number for Matthew Peterson is 1013610583. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Matthew Peterson located?

Matthew Peterson practices at 855 Mankato Ave, Winona, MN 55987. The listed phone number is (507) 454-3650.

What is Matthew Peterson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Matthew Peterson enrolled in Medicare?

Yes. Matthew Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Matthew Peterson affiliated with any hospitals?

According to CMS data, Matthew Peterson is affiliated with Winona Health Services.

When was this NPI record last updated?

The NPPES record for Matthew Peterson was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.