MRS. CARRIE LOUISE PETERSON CRNA
NPI 1366595712
Nurse Anesthetist, Certified Registered in Saint Cloud, MN
About Mrs. Carrie Louise Peterson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CARRIE LOUISE PETERSON CRNA (NPI 1366595712) is an individual nurse anesthetist, certified registered in Saint Cloud, Minnesota, licensed in Minnesota (043925) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Carrie Louise Peterson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Carrie Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sartell, MN 56377
- Reassigned Medicare billing, Minnesota enrollment
- 19 clinicians in this Medicare group
Minnetonka, MN 55305
- Reassigned Medicare billing, Minnesota enrollment
- 44 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 131 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
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 Carrie Peterson's NPI number?
The NPI number for Carrie Peterson is 1366595712. It was assigned to this individual provider in the NPPES registry on January 19, 2007.
Where is Carrie Peterson located?
Carrie Peterson practices at 1526 Northway Dr, Saint Cloud, MN 56303. The listed phone number is (320) 251-8385.
What is Carrie Peterson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Carrie Peterson enrolled in Medicare?
Yes. Carrie Peterson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carrie Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Peterson reassigns Medicare benefits to 3 organizations: Center For Pain Management, P.A. (Sartell, MN), Regional Anesthesia Services PA (Minnetonka, MN) and Certified Anesthesia Care, Co. (Stillwater, MN). 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 Carrie Peterson'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 Carrie Peterson was last updated on January 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Carrie Louise Peterson, CRNA · NPI 1366595712
Nurse Anesthetist, Certified Registered physician in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since January 19, 2007.
## Identity
- **NPI:** 1366595712 (Entity type: Individual)
- **Enumerated:** January 19, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 043925 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1526 NORTHWAY DR, Saint Cloud, MN 56303-1255
- **Phone:** (320) 251-8385
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Center For Pain Management, P.A. (NPI 1215977079, Sartell, MN); Regional Anesthesia Services PA (NPI 1073621850, Minnetonka, MN); Certified Anesthesia Care, Co. (NPI 1699736348, Stillwater, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2008
- **Other identifiers:** Other P00212663 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1366595712) · Data from the CMS NPPES public registry.