BRYANT LEWIS PETERSON CRNA
NPI 1174794127
Nurse Anesthetist, Certified Registered in Salt Lake City, UT

Q: What is Bryant Peterson's NPI number?

The NPI number for Bryant Peterson is 1174794127. It was assigned to this individual provider in the NPPES registry on March 18, 2008.

Q: What is Bryant Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bryant Peterson was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 18, 2008Accepts Medicare Assignment

79.72/100

CMS Quality Rating

8TH AVE C STREET, SALT LAKE CITY, UT 84143(801) 408-3350(770) 701-6675 Get Directions Write a Review

NPPES record last updated: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2022, Nov 11, 2021 (2 updates tracked since 2021).

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About Bryant Lewis Peterson Crna NPPES

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

BRYANT LEWIS PETERSON CRNA (NPI 1174794127) is an individual nurse anesthetist, certified registered in Salt Lake City, Utah, licensed in Utah (5252922-4406) and active in the NPI registry since March 2008. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1174794127

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameBRYANT LEWIS PETERSONCredential: CRNA

Location Address8TH AVE C STREETSalt Lake City, UT 84143-0001

Mailing AddressPo Box 3570Salt Lake City, UT 84110-3570 · (801) 432-2600 · Fax (770) 701-6675

Phone(801) 408-3350

Fax(770) 701-6675

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 18, 2008

Last NPPES UpdateOctober 19, 20222 updates tracked since enumeration

NPPES CertifiedOctober 19, 2022

✔ NPI 1174794127 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

Licenses✔ Licensed in UT · 5252922-4406✔ Licensed in ID · RNA-717

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 NurseTaxonomy 163W00000X · License N37726 (ID)

8TH AVE C STREET, Salt Lake City, UT 84143

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryant Lewis 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 ID547349615

PECOS Enrollment IDI20170427001001

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84143 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

79.72/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.84

Improvement Activities

Cost

63.86

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL C RAPP MD

Psychiatry & Neurology (Psychiatry)

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-1038

CANDYCE STUART RN

Registered Nurse

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 808-3487

DR. ANDREW JARED PELLATT MD

Internal Medicine

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 634-4135

BETH ELLEN HUNT DPT

Physical Therapist

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-1000

CANDICE MARINA BALDEO MD

Internal Medicine (Hematology & Oncology)

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 898-1819

GAYLE WHITE APRN FNPC

Nurse Practitioner (Family)

8TH AVE C STREET, LDS HOSPITAL WOUND CARE SERVICE
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3638

MS. ANNE E BOULTER APRN

Nurse Practitioner (Acute Care)

8TH AVE C STREET
SALT LAKE CITY, UT 84143

Salt Lake County (801) 408-3090

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 Bryant Peterson's NPI number?

The NPI number for Bryant Peterson is 1174794127. It was assigned to this individual provider in the NPPES registry on March 18, 2008.

Where is Bryant Peterson located?

Bryant Peterson practices at 8th Ave C Street, Salt Lake City, UT 84143. The listed phone number is (801) 408-3350.

What is Bryant Peterson's specialty?

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

Is Bryant Peterson enrolled in Medicare?

Yes. Bryant 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.

What insurance does Bryant Peterson accept?

Health plans from Select Health list Bryant 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.

When was this NPI record last updated?

The NPPES record for Bryant Peterson was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.