MS. DANIELLE LEE PETERSMITH CRNA
NPI 1174899199
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since March 23, 2012Accepts Medicare Assignment
88.31/100
CMS Quality Rating
12634 OLIVE BLVD, SAINT LOUIS, MO 63141(314) 996-8685(314) 996-8479 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 15, 2016, Oct 1, 2015 (2 updates tracked since 2015).

About Ms. Danielle Lee Petersmith Crna NPPES

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

MS. DANIELLE LEE PETERSMITH CRNA (NPI 1174899199) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2014008543) and active in the NPI registry since March 2012. She maintains a secondary practice location in Saint Louis and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174899199
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. DANIELLE LEE PETERSMITHCredential: CRNA
Location Address12634 OLIVE BLVDSaint Louis, MO 63141-6337
Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679
Fax(314) 996-8479
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 23, 2012
Last NPPES UpdateApril 2, 20182 updates tracked since enumeration
NPI 1174899199 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 MO · 2014008543
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.

12634 OLIVE BLVD, Saint Louis, MO 63141

Secondary Practice Location 1

Location 112634 Olive BlvdSaint Louis, MO 63141-6337 · Phone (314) 996-8685 · Fax (314) 996-8479

Other Identifiers 1

MedicaidENROLLEDIL

Accepted 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

Ms. Danielle Lee Petersmith 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 ID7012166416
PECOS Enrollment IDI20140725000062

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

88.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.25
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Emergency Medicine
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD
SAINT LOUIS, MO 63141
Anesthesiology
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Registered Nurse (Registered Nurse First Assistant)
12634 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Anesthetist, Certified Registered
12634 OLIVE BLVD, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
12634 OLIVE BLVD
SAINT LOUIS, MO 63141

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 Danielle Petersmith's NPI number?

The NPI number for Danielle Petersmith is 1174899199. It was assigned to this individual provider in the NPPES registry on March 23, 2012.

Where is Danielle Petersmith located?

Danielle Petersmith practices at 12634 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (314) 996-8685.

What is Danielle Petersmith's specialty?

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

Is Danielle Petersmith enrolled in Medicare?

Yes. Danielle Petersmith 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 Danielle Petersmith accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Danielle Petersmith 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 Danielle Petersmith was last updated on April 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.