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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROBERT PETERSON CSFA
NPI 1124936018
Specialist/Technologist, Other - Surgical Assistant in Princeton, MN

Active since August 31, 2026
911 NORTHLAND DR, PRINCETON, MN 55371(612) 672-5000 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Robert Peterson Csfa NPPES

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

ROBERT PETERSON CSFA (NPI 1124936018) is an individual surgical assistant in Princeton, Minnesota, licensed in Minnesota (186235) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1124936018
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameROBERT PETERSONCredential: CSFA
Location Address911 NORTHLAND DRPrinceton, MN 55371-2172
Mailing Address331 Wood St SMora, MN 55051-1452 · (612) 227-7924
Phone(612) 672-5000
Sole ProprietorYes
Enumeration DateAugust 31, 2026
Last NPPES UpdateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
✔ NPI 1124936018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in MN · 186235
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
911 NORTHLAND DR, Princeton, MN 55371
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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.

SUSAN MARIE FRABONI RCP
Respiratory Therapist, Certified
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
FAIRVIEW HEALTH SERVICES
Hospitalist
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
SARA LYNNE KNEISL D.P.T.
Physical Therapist
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-6420
JANEL MARIE HEMMESCH RD
Dietitian, Registered
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-6367
BREANNA PETERSON D.O.
Emergency Medicine
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
THEODORE P VANERP MD
Family Medicine
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-1313
MS. BARBARA ANN REIN PT
Physical Therapist
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-6420
MEGAN JOAN SCHOEBERL PA-C
Physician Assistant
911 NORTHLAND DR
PRINCETON, MN 55371
Mille Lacs County (763) 389-7617

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 Robert Peterson's NPI number?

The NPI number for Robert Peterson is 1124936018. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Where is Robert Peterson located?

Robert Peterson practices at 911 Northland Dr, Princeton, MN 55371. The listed phone number is (612) 672-5000.

What is Robert Peterson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Robert Peterson was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.