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MATTHEW PETERKIN SRNA
NPI 1124733555
Nurse Anesthetist, Certified Registered in San Bernardino, CA

Active since January 19, 2023Accepts Medicare Assignment
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 269-1947 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, Jan 19, 2023 (2 updates tracked since 2023).

About Matthew Peterkin Srna NPPES

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

MATTHEW PETERKIN SRNA (NPI 1124733555) is an individual nurse anesthetist, certified registered in San Bernardino, California, licensed in California (95002412) and active in the NPI registry since January 2023. He maintains a secondary practice location in Boston and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124733555
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMATTHEW PETERKINCredential: SRNA
Location Address2101 N WATERMAN AVESan Bernardino, CA 92404-4836
Mailing Address55 Queensberry St Apt 4Boston, MA 02215-4805
Phone(909) 269-1947
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 19, 2023
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1124733555 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
License✔ Licensed in CA · 95002412
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 Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN2351699 (MA)
2101 N WATERMAN AVE, San Bernardino, CA 92404
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Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

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

Matthew Peterkin Srna 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 ID5890234389
PECOS Enrollment IDI20240828002924

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Peterkin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Palm Springs Anesthesia Services, PC
Same address
Anesthesiology
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 270 clinicians in this Medicare group
NPI 1083928501 (914) 491-9495
Darin Rentz Do PC
7.9 mi
Anesthesiology
350 TERRACINA BLVD
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
NPI 1689321747 (877) 565-6701

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92404 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

NICHOLAS WALTHER PA-C
Physician Assistant (Medical)
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DR. GIAN CHRISTIAN TONGSON IGNACIO MD
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (818) 282-2085
FASIHA NAZIR
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DEVAL DAVE PA
Physician Assistant
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
ALYSSA HOGUE
Pharmacy Technician
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DR. ARIN VANESSA COLLIN MD
Student in an Organized Health Care Education/Training Program
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
DAVID D. TITO M.D.
Emergency Medicine
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 883-8711
ROBERT DEVORE, JR., M.D., INC
Anesthesiology
2101 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (800) 883-7243

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 Matthew Peterkin's NPI number?

The NPI number for Matthew Peterkin is 1124733555. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Where is Matthew Peterkin located?

Matthew Peterkin practices at 2101 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 269-1947.

What is Matthew Peterkin's specialty?

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

Is Matthew Peterkin enrolled in Medicare?

Yes. Matthew Peterkin 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 Matthew Peterkin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Peterkin reassigns Medicare benefits to 2 organizations: Palm Springs Anesthesia Services, PC (San Bernardino, CA) and Darin Rentz Do PC (Redlands, CA). 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 Matthew Peterkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Peterkin was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.