LUCILLE PETERSEN CRNA
NPI 1023697299
Nurse Anesthetist, Certified Registered in Bakersfield, CA

Active since April 06, 2021Accepts Medicare Assignment
85.78/100
CMS Quality Rating
1700 MOUNT VERNON AVE, BAKERSFIELD, CA 93306(661) 326-2000 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lucille Petersen Crna NPPES

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

LUCILLE PETERSEN CRNA (NPI 1023697299) is an individual nurse anesthetist, certified registered in Bakersfield, California, licensed in California (95001523) and active in the NPI registry since April 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1023697299
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameLUCILLE PETERSENCredential: CRNA
Location Address1700 MOUNT VERNON AVEBakersfield, CA 93306
Mailing Address5428 Coastal Wind StBakersfield, CA 93312-8226
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2021
NPPES CertifiedMarch 31, 2021
NPI 1023697299 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 CA · 95001523
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.
1700 MOUNT VERNON AVE, Bakersfield, CA 93306

Other Names 1

Other Name (5)Lucy Petersen Crna

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

Lucille Petersen Crna 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 ID8628487030
PECOS Enrollment IDI20210513002677

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93306 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
$135.05 typical visit price
range $59.26 – $178.09
Typical copayment $33.76 (range $14.81 – $44.52)
Most-billed visit code 99204
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

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.

Emergency Medicine
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Social Worker
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Pharmacist (Pharmacotherapy)
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Physician Assistant
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Nurse Anesthetist, Certified Registered
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Internal Medicine
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Obstetrics & Gynecology
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306
Psychiatry & Neurology (Psychiatry)
1700 MOUNT VERNON AVE
BAKERSFIELD, CA 93306

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 Lucille Petersen's NPI number?

The NPI number for Lucille Petersen is 1023697299. It was assigned to this individual provider in the NPPES registry on April 6, 2021. The provider is also known as Lucy Petersen Crna.

Where is Lucille Petersen located?

Lucille Petersen practices at 1700 Mount Vernon Ave, Bakersfield, CA 93306. The listed phone number is (661) 326-2000.

What is Lucille Petersen's specialty?

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

Is Lucille Petersen enrolled in Medicare?

Yes. Lucille Petersen 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.

When was this NPI record last updated?

The NPPES record for Lucille Petersen was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.