CARRIE M PETERSON
NPI 1013996727
Nurse Anesthetist, Certified Registered in St Louis Park, MN

Active since January 11, 2006Accepts Medicare Assignment
64.46/100
CMS Quality Rating
6500 EXCELSIOR BLVD, METHODIST HOSPITAL, ST LOUIS PARK, MN 55426(952) 993-5222(952) 993-6499 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2021, Mar 11, 2021 (2 updates tracked since 2021).

About Carrie M Peterson NPPES

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

CARRIE M PETERSON (NPI 1013996727) is an individual nurse anesthetist, certified registered in St Louis Park, Minnesota, licensed in North Carolina (6679) and active in the NPI registry since January 2006. She is affiliated with Duke University Hospital and is a graduate of Other (2004).

NPPES Registry Identity

NPI1013996727
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCARRIE M PETERSON
Location Address6500 EXCELSIOR BLVD, METHODIST HOSPITALSt Louis Park, MN 55426-4702
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Fax(952) 993-6499
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 11, 2006
Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
NPI 1013996727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in NC · 6679 Licensed in MN · 1329
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License R 126897-7 (MN)
6500 EXCELSIOR BLVD, St Louis Park, MN 55426

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

Carrie M 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 ID345291092
PECOS Enrollment IDI20210817003454

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.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

64.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.37
Improvement Activities40
Cost68.87

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.

Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Obstetrics & Gynecology
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Internal Medicine (Cardiovascular Disease)
6500 EXCELSIOR BLVD, PARK NICOLLET CLINIC - HEART & VASCULAR CENTER
ST LOUIS PARK, MN 55426
Occupational Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Physical Therapist
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426

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 Carrie Peterson's NPI number?

The NPI number for Carrie Peterson is 1013996727. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Carrie Peterson located?

Carrie Peterson practices at 6500 Excelsior Blvd Methodist Hospital, St Louis Park, MN 55426. The listed phone number is (952) 993-5222.

What is Carrie Peterson's specialty?

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

Is Carrie Peterson enrolled in Medicare?

Yes. Carrie 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 Carrie Peterson affiliated with any hospitals?

According to CMS data, Carrie Peterson is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Carrie Peterson was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.