MATTHEW D. PETTA CRNA
NPI 1376569954
Nurse Anesthetist, Certified Registered in Port Townsend, WA
About Matthew D. Petta Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW D. PETTA CRNA (NPI 1376569954) is an individual nurse anesthetist, certified registered in Port Townsend, Washington, licensed in Washington (60552041) and active in the NPI registry since July 2006. He is affiliated with Jefferson Healthcare, maintains a secondary practice location in Port Townsend, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew D. Petta 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.
Medicare Billing Reassignments
3Medicare enrollment records show Matthew Petta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Townsend, WA 98368
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1356492953 (Washington)
- 208 clinicians in this Medicare group
Bremerton, WA 98310
- Reassigned Medicare billing, Washington enrollment
- 64 clinicians in this Medicare group
Federal Way, WA 98003
- Reassigned Medicare billing, Washington enrollment
- 148 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Healthcare
Critical Access Hospitals · Port Townsend, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Matthew Petta's NPI number?
The NPI number for Matthew Petta is 1376569954. It was assigned to this individual provider in the NPPES registry on July 15, 2006.
Where is Matthew Petta located?
Matthew Petta practices at 628 Madison St, Port Townsend, WA 98368. The listed phone number is (402) 990-0733.
What is Matthew Petta's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Matthew Petta enrolled in Medicare?
Yes. Matthew Petta 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.
Which organizations bill Medicare for Matthew Petta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Petta reassigns Medicare benefits to 3 organizations: Jefferson County Public Hospital District No 2 (Port Townsend, WA), Olympic Anesthesia Services, Inc (Bremerton, WA) and Washington Gastroenterology PLLC (Federal Way, WA). 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 Matthew Petta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Matthew Petta affiliated with any hospitals?
According to CMS data, Matthew Petta is affiliated with Jefferson Healthcare.
When was this NPI record last updated?
The NPPES record for Matthew Petta was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Matthew D. Petta, CRNA · NPI 1376569954
Nurse Anesthetist, Certified Registered physician in Port Townsend, Washington. Individual provider, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1376569954 (Entity type: Individual)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 60552041 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 628 MADISON ST, Port Townsend, WA 98368-4414
- **Phone:** (402) 990-0733
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jefferson County Public Hospital District No 2 (NPI 1760433049, Port Townsend, WA); Olympic Anesthesia Services, Inc (NPI 1275586125, Bremerton, WA); Washington Gastroenterology PLLC (NPI 1245265826, Federal Way, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** October 22, 2025
- **Other identifiers:** Other 1376569954 (WA); Medicaid 2046617 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1376569954) · Data from the CMS NPPES public registry.