NICHOLAS PETERSON CAA
NPI 1386297869
Anesthesiologist Assistant in Willoughby, OH
About Nicholas Peterson Caa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS PETERSON CAA (NPI 1386297869) is an individual anesthesiologist assistant in Willoughby, Ohio, licensed in Ohio (67.000388) and active in the NPI registry since July 2019. He is affiliated with South Pointe Hospital, maintains a secondary practice location in Washington, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Nicholas Peterson Caa 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 Nicholas Peterson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 554 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
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
South Pointe Hospital
Acute Care Hospitals · Warrensville Heights, OHHillcrest Hospital
Acute Care Hospitals · Mayfield Heights, OHOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLOUGHBY, OH 44094
WILLOUGHBY, OH 44094
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 Nicholas Peterson's NPI number?
The NPI number for Nicholas Peterson is 1386297869. It was assigned to this individual provider in the NPPES registry on July 23, 2019.
Where is Nicholas Peterson located?
Nicholas Peterson practices at 36000 Euclid Ave, Willoughby, OH 44094. The listed phone number is (440) 953-9600.
What is Nicholas Peterson's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Nicholas Peterson enrolled in Medicare?
Yes. Nicholas 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.
Which organizations bill Medicare for Nicholas Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Peterson reassigns Medicare benefits to 3 organizations: University Hospitals Medical Group Inc (Cleveland, OH), The Cleveland Clinic Foundation (Cleveland, OH) and Ohio Anesthesia Group, Inc (Canton, OH). 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 Nicholas Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicholas Peterson affiliated with any hospitals?
According to CMS data, Nicholas Peterson is affiliated with South Pointe Hospital and Hillcrest Hospital.
When was this NPI record last updated?
The NPPES record for Nicholas Peterson was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nicholas Peterson, CAA · NPI 1386297869
Anesthesiologist Assistant physician in Willoughby, Ohio. Individual provider, active in the CMS NPPES registry since July 23, 2019.
## Identity
- **NPI:** 1386297869 (Entity type: Individual)
- **Enumerated:** July 23, 2019
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 67.000388 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 36000 EUCLID AVE, Willoughby, OH 44094-4625
- **Phone:** (440) 953-9600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH); The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH); Ohio Anesthesia Group, Inc (NPI 1639348113, Canton, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1386297869) · Data from the CMS NPPES public registry.