BLAKE T PETERSON CRNA
NPI 1043561343
Nurse Anesthetist, Certified Registered in Yakima, WA

Active since September 26, 2012Accepts Medicare Assignment
406 S 30TH AVE, SUITE 202, YAKIMA, WA 98902(509) 972-1051(509) 972-4166 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake T Peterson Crna NPPES

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

BLAKE T PETERSON CRNA (NPI 1043561343) is an individual nurse anesthetist, certified registered in Yakima, Washington, licensed in Washington (AP60300423) and active in the NPI registry since September 2012. He is affiliated with Yakima Valley Memorial and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043561343
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameBLAKE T PETERSONCredential: CRNA
Location Address406 S 30TH AVE, SUITE 202Yakima, WA 98902-3713
Mailing Address406 S 30th Ave, Suite 202Yakima, WA 98902-3713 · (509) 972-1051 · Fax (509) 972-4166
Fax(509) 972-4166
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 26, 2012
NPI 1043561343 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 WA · AP60300423
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.

406 S 30TH AVE, Yakima, WA 98902

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

Blake T Peterson 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 ID8820248057
PECOS Enrollment IDI20121025000158

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 esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98902 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Anesthesiology
406 S 30TH AVE, STE 202
YAKIMA, WA 98902
Nurse Anesthetist, Certified Registered
406 S 30TH AVE, STE 202
YAKIMA, WA 98902
Nurse Anesthetist, Certified Registered
406 S 30TH AVE, SUITE 202
YAKIMA, WA 98902
Internal Medicine (Cardiovascular Disease)
406 S 30TH AVE, SUITE 101
YAKIMA, WA 98902
Anesthesiology
406 S 30TH AVE, SUITE 202
YAKIMA, WA 98902
Nurse Anesthetist, Certified Registered
406 S 30TH AVE, SUITE 202
YAKIMA, WA 98902
Nurse Anesthetist, Certified Registered
406 S 30TH AVE, SUITE 202
YAKIMA, WA 98902
Anesthesiology
406 S 30TH AVE, STE 202
YAKIMA, WA 98902

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 Blake Peterson's NPI number?

The NPI number for Blake Peterson is 1043561343. It was assigned to this individual provider in the NPPES registry on September 26, 2012.

Where is Blake Peterson located?

Blake Peterson practices at 406 S 30th Ave Suite 202, Yakima, WA 98902. The listed phone number is (509) 972-1051.

What is Blake Peterson's specialty?

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

Is Blake Peterson enrolled in Medicare?

Yes. Blake 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 Blake Peterson affiliated with any hospitals?

According to CMS data, Blake Peterson is affiliated with Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Blake Peterson was last updated on September 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.