MICHAEL PETKOS CRNA
NPI 1134057581
Nurse Anesthetist, Certified Registered in Rhinebeck, NY

Active since May 13, 2026
6511 SPRING BROOK AVE, RHINEBECK, NY 12572(845) 876-3001 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Petkos Crna NPPES

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

MICHAEL PETKOS CRNA (NPI 1134057581) is an individual nurse anesthetist, certified registered in Rhinebeck, New York, licensed in New York (764519) and active in the NPI registry since May 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1134057581
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL PETKOSCredential: CRNA
Location Address6511 SPRING BROOK AVERhinebeck, NY 12572-3709
Mailing Address1305 Walt Whitman Rd Ste 300Melville, NY 11747-4300 · (833) 402-0575
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 13, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1134057581 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 NY · 764519
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.
6511 SPRING BROOK AVE, Rhinebeck, NY 12572

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Petkos Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779054358
PECOS Enrollment IDI20260604001477

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.

Social Worker
6511 SPRING BROOK AVE
RHINEBECK, NY 12572
Physical Therapist
6511 SPRING BROOK AVE
RHINEBECK, NY 12572
Physician Assistant (Medical)
6511 SPRING BROOK AVE, SUITE 1001
RHINEBECK, NY 12572
Physician Assistant (Medical)
6511 SPRING BROOK AVE
RHINEBECK, NY 12572
Anesthesiology
6511 SPRING BROOK AVE
RHINEBECK, NY 12572
Student in an Organized Health Care Education/Training Program
6511 SPRING BROOK AVE
RHINEBECK, NY 12572
Hospitalist
6511 SPRING BROOK AVE
RHINEBECK, NY 12572
Student in an Organized Health Care Education/Training Program
6511 SPRING BROOK AVE
RHINEBECK, NY 12572

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 Michael Petkos's NPI number?

The NPI number for Michael Petkos is 1134057581. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Michael Petkos located?

Michael Petkos practices at 6511 Spring Brook Ave, Rhinebeck, NY 12572. The listed phone number is (845) 876-3001.

What is Michael Petkos's specialty?

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

Is Michael Petkos enrolled in Medicare?

Yes. Michael Petkos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Petkos was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 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.