Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELISSA KAE PETERSON APRN, CRNA, DNAP
NPI 1396337796
Nurse Anesthetist, Certified Registered in Cloquet, MN

Active since February 07, 2021
512 SKYLINE BLVD, CLOQUET, MN 55720(218) 879-4641 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2026, Dec 3, 2021, May 7, 2021 and 1 more (4 updates tracked since 2021).

About Melissa Kae Peterson Aprn, Crna, Dnap NPPES

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

MELISSA KAE PETERSON APRN, CRNA, DNAP (NPI 1396337796) is an individual nurse anesthetist, certified registered in Cloquet, Minnesota, licensed in Minnesota (2592) and active in the NPI registry since February 2021. She is affiliated with Community Memorial Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396337796
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMELISSA KAE PETERSONCredential: APRN, CRNA, DNAP
Location Address512 SKYLINE BLVDCloquet, MN 55720-3787
Mailing Address512 Skyline BlvdCloquet, MN 55720-3787 · (218) 879-4641
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 7, 2021
Last NPPES UpdateAugust 20, 20264 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
NPI 1396337796 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
License Licensed in MN · 2592
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 2026176 (MN)
512 SKYLINE BLVD, Cloquet, MN 55720

Other Names 1

Former Name (1)Melissa Kae Mattson

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

Melissa Kae Peterson Aprn, Crna, Dnap 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 ID42629388
PECOS Enrollment IDI20210517002364

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

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.

General Acute Care Hospital (Critical Access)
512 SKYLINE BLVD
CLOQUET, MN 55720
Surgery
512 SKYLINE BLVD
CLOQUET, MN 55720
Nurse Practitioner (Family)
512 SKYLINE BLVD
CLOQUET, MN 55720
Nurse Anesthetist, Certified Registered
512 SKYLINE BLVD
CLOQUET, MN 55720
Anesthesiology
512 SKYLINE BLVD
CLOQUET, MN 55720
Registered Nurse
512 SKYLINE BLVD
CLOQUET, MN 55720
Medicare Defined Swing Bed Unit
512 SKYLINE BLVD
CLOQUET, MN 55720
Internal Medicine (Gastroenterology)
512 SKYLINE BLVD
CLOQUET, MN 55720

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 Melissa Peterson's NPI number?

The NPI number for Melissa Peterson is 1396337796. It was assigned to this individual provider in the NPPES registry on February 7, 2021. The provider is also known as Melissa Kae Mattson.

Where is Melissa Peterson located?

Melissa Peterson practices at 512 Skyline Blvd, Cloquet, MN 55720. The listed phone number is (218) 879-4641.

What is Melissa Peterson's specialty?

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

Is Melissa Peterson enrolled in Medicare?

Yes. Melissa 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 Melissa Peterson accept?

Health plans from Medica list Melissa 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.

Is Melissa Peterson affiliated with any hospitals?

According to CMS data, Melissa Peterson is affiliated with Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Peterson was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.