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RENEE P PETERSON CRNA
NPI 1093886137
Nurse Anesthetist, Certified Registered in Minot, ND

Active since November 12, 2006PECOS EnrolledAccepts Medicare Assignment
1 BURDICK EXPY W, MINOT, ND 58701(701) 857-5124(701) 857-3264 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renee P Peterson Crna NPPES

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

RENEE P PETERSON CRNA (NPI 1093886137) is an individual nurse anesthetist, certified registered in Minot, North Dakota, licensed in North Dakota (R23794) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with St Gabriels Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1093886137
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameRENEE P PETERSONCredential: CRNA
Location Address1 BURDICK EXPY WMinot, ND 58701-4406
Mailing AddressPo Box 5010Minot, ND 58702-5010 · (701) 857-5650 · Fax (701) 857-5031
Phone(701) 857-5124
Fax(701) 857-3264
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 12, 2006
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1093886137 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
Licenses✔ Licensed in ND · R23794✔ Licensed in MN · 1132
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.
1 BURDICK EXPY W, Minot, ND 58701
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Other Identifiers 1

Medicaid12675ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Renee P 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 ID4587659735
PECOS Enrollment IDI20140929000271
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Renee Peterson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Francis Medical Center
259 mi
Critical Access
2400 ST FRANCIS DR
Breckenridge, MN 56520
  • Reassigned Medicare billing, Minnesota enrollment
  • 52 clinicians in this Medicare group
NPI 1891954574 (218) 643-3000
Astera Health
296 mi
Rural Health
232 MN HIGHWAY 78 N
Ottertail, MN 56571
  • Reassigned Medicare billing, Minnesota enrollment
  • 202 clinicians in this Medicare group
NPI 1871546663 (218) 367-6262
St. Joseph's Medical Center
330 mi
Primary Care
110 3RD ST. S
Hackensack, MN 56452
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Josephs Medical Center
  • 340 clinicians in this Medicare group
NPI 1821245614 (218) 675-5044
Lakewood Health System
334 mi
Critical Access
49725 COUNTY 83
Staples, MN 56479
  • Reassigned Medicare billing, Minnesota enrollment
  • 179 clinicians in this Medicare group
NPI 1295726362 (218) 894-1515
Unity Family Healthcare
354 mi
Clinic/Center
250 WHITE OAK DRIVE
Randall, MN 56475
  • Reassigned Medicare billing, Minnesota enrollment
  • 205 clinicians in this Medicare group
NPI 1336359009 (320) 749-2877
Regional Anesthesia Services PA
436 mi
Anesthesiology
13911 RIDGEDALE DR STE 404B
Minnetonka, MN 55305
  • Reassigned Medicare billing, Minnesota enrollment
  • 44 clinicians in this Medicare group
NPI 1073621850 (651) 600-8049

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Gabriels Hospital

Critical Access Hospitals · Little Falls, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241370
Location815 Southeast Second StreetLittle Falls, MN 56345 · Morrison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58701 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

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.

GLORIA E MARAGOS CRNA
Nurse Anesthetist, Certified Registered
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5124
NADINE HAGEN MS CCC-SLP
Speech-Language Pathologist
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5514
MARCIE JOHNSON
Occupational Therapist
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5277
JERRY C HANSEN
Pharmacist
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5550
STEPHANIE WILLET M.D.
Anesthesiology
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5124
JENNA B KOURAJIAN RD, LRD
Dietitian, Registered
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5758
CHRISTA M ANDERSON LRD
Dietitian, Registered
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5527
TERRY LYNN STOCK CRNA
Nurse Anesthetist, Certified Registered
1 BURDICK EXPY W
MINOT, ND 58701
Ward County (701) 857-5124

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 Renee Peterson's NPI number?

The NPI number for Renee Peterson is 1093886137. It was assigned to this individual provider in the NPPES registry on November 12, 2006.

Where is Renee Peterson located?

Renee Peterson practices at 1 Burdick Expy W, Minot, ND 58701. The listed phone number is (701) 857-5124.

What is Renee Peterson's specialty?

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

Is Renee Peterson enrolled in Medicare?

Yes. Renee 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.

Which organizations bill Medicare for Renee Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Renee Peterson reassigns Medicare benefits to 6 organizations: St. Francis Medical Center (Breckenridge, MN), Astera Health (Ottertail, MN), St. Joseph's Medical Center (Hackensack, MN), Lakewood Health System (Staples, MN), Unity Family Healthcare (Randall, MN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Renee Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Renee Peterson affiliated with any hospitals?

According to CMS data, Renee Peterson is affiliated with St Gabriels Hospital.

When was this NPI record last updated?

The NPPES record for Renee Peterson was last updated on December 8, 2020. 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.