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DANIEL CARL PETERSON CRNA
NPI 1124503677
Nurse Anesthetist, Certified Registered in Port Charlotte, FL

Active since October 01, 2018PECOS EnrolledAccepts Medicare Assignment
75.66/100
CMS Quality Rating
2500 HARBOR BLVD, PORT CHARLOTTE, FL 33952(941) 766-4125(941) 766-4101 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Jul 16, 2024, Apr 3, 2023 and 1 more (4 updates tracked since 2018).

About Daniel Carl Peterson Crna NPPES

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

DANIEL CARL PETERSON CRNA (NPI 1124503677) is an individual nurse anesthetist, certified registered in Port Charlotte, Florida, licensed in Florida (APRN11032461) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1124503677
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDANIEL CARL PETERSONCredential: CRNA
Location Address2500 HARBOR BLVDPort Charlotte, FL 33952-5000
Mailing Address2500 Harbor BlvdPort Charlotte, FL 33952-5000 · (941) 766-4125 · Fax (941) 766-4101
Phone(941) 766-4125
Fax(941) 766-4101
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 1, 2018
Last NPPES UpdateOctober 31, 20254 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1124503677 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 FL · APRN11032461✔ Licensed in WI · 8725-33
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.
2500 HARBOR BLVD, Port Charlotte, FL 33952
Open in Google Maps ↗

Secondary Practice Location 1

Location 13400 Ministry PkwyWeston, WI 54476-5220 · Phone (715) 393-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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

Daniel Carl 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 ID5991059289
PECOS Enrollment IDI20181127001145, I20240727000445
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

12

Medicare enrollment records show Daniel Peterson reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sunshine State Anesthesia Partners LLC
47 mi
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
NPI 1437757127 (888) 276-1910
Florida Hospital Physician Group Inc
77 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Us Anesthesia Partners Of Florida Inc.
121 mi
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
NPI 1518910520 (321) 422-7155
Beaver Dam Community Hospitals Inc
1,191 mi
Family Medicine
420 W NORTH ST
Juneau, WI 53039
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
NPI 1831410521 (920) 386-8101
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
1,269 mi
Clinic/Center
272 CHRISTY ST
Amherst, WI 54406
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1316616428 (715) 824-5151
Mchs Hospitals, Inc.
1,273 mi
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
NPI 1386249894 (715) 342-0290
Aspirus Stevens Point Hospital & Clinics, Inc.
1,276 mi
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1184082745 (715) 342-7900
Marshfield Clinic Inc
1,299 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
NPI 1952347981 (715) 387-5511
Memorial Hospital Inc
1,300 mi
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,440 clinicians in this Medicare group
NPI 1033701800 (715) 743-3101
Aspirus Merrill Hospital & Clinics, Inc.
1,323 mi
Critical Access
601 S CENTER AVE
Merrill, WI 54452
  • Reassigned Medicare billing, Wisconsin enrollment
  • 351 clinicians in this Medicare group
NPI 1124084678 (715) 536-5511

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 2

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

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100077
Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services Birthing friendly

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100236
Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

75.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.27
Promoting Interoperability99
Improvement Activities40
Cost50.45

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.

MRS. LAUREN ARTHUR CRNA, ARNP
Nurse Anesthetist, Certified Registered
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-4125
PEDIATRIX MEDICAL GROUP OF FLORIDA INC
Pediatrics (Neonatal-Perinatal Medicine)
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-4122
PUNTA GORDA HB MEDICAL SERVICES, LLC
Anesthesiology
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (855) 472-9219
MR. LAWRENCE CARLINO P.T.
Physical Therapist
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-4147
DR. FERNANDO LUIS LOMBA MD
Pathology (Anatomic Pathology & Clinical Pathology)
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-4120
BROOKLYN LEISGE CRNA
Nurse Anesthetist, Certified Registered
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-4125
ST. JOSEPH EMERGENCY MEDICAL PHYSICIANS PA
Emergency Medicine
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (305) 665-4614
PORT CHARLOTTE HMA LLC
General Acute Care Hospital
2500 HARBOR BLVD
PORT CHARLOTTE, FL 33952
Charlotte County (941) 766-4125

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 Daniel Peterson's NPI number?

The NPI number for Daniel Peterson is 1124503677. It was assigned to this individual provider in the NPPES registry on October 1, 2018.

Where is Daniel Peterson located?

Daniel Peterson practices at 2500 Harbor Blvd, Port Charlotte, FL 33952. The listed phone number is (941) 766-4125.

What is Daniel Peterson's specialty?

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

Is Daniel Peterson enrolled in Medicare?

Yes. Daniel 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 Daniel Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Peterson reassigns Medicare benefits to 12 organizations: Sunshine State Anesthesia Partners LLC (Bradenton, FL), Florida Hospital Physician Group Inc (Tampa, FL), Us Anesthesia Partners Of Florida Inc. (Maitland, FL), Beaver Dam Community Hospitals Inc (Juneau, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Amherst, WI) and 7 more organizations, 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 Daniel Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Peterson accept?

Health plans from Sanford Health Plan list Daniel Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Peterson affiliated with any hospitals?

According to CMS data, Daniel Peterson is affiliated with Shorepoint Health Port Charlotte and Hca Florida Fawcett Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Peterson was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.