JOHN C. PETERSEN CRNA
NPI 1619075686
Nurse Anesthetist, Certified Registered in Du Bois, PA

NPI Status: Active since September 21, 2006

Contact Information

100 HOSPITAL AVE
DU BOIS, PA
ZIP 15801
Phone: (814) 371-2200
Fax: (814) 375-3384

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered

About JOHN PETERSEN

This page provides the complete NPI Profile along with additional information for John Petersen, a provider established in Du Bois, Pennsylvania with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1619075686 assigned on September 2006. The practitioner's primary taxonomy code is 367500000X with license number RN185740L (PA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1619075686
Provider Name
JOHN C. PETERSEN CRNA
Gender
Male
Entity Type
Individual
Location Address
100 HOSPITAL AVE DU BOIS, PA 15801
Location Phone
(814) 371-2200
Location Fax
(814) 375-3384
Mailing Address
PO BOX 447 DU BOIS, PA 15801
Mailing Phone
(814) 371-2200
Mailing Fax
(814) 375-3384
Is Sole Proprietor?
No
Enumeration Date
09-21-2006
Last Update Date
06-21-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN185740L
License State
PA
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
020462MEDICARE ID-TYPE UNSPECIFIED (04)PA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1619075686, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 5 → 10 → 1 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 2 + 9 + 0 + 7 + 1 + 0 + 6 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1619075686.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
100 HOSPITAL AVE, HAHNE REGIONAL CANCER CENTER/RADIATION ONCOLOGY
DU BOIS, PA 15801
Pharmacist
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Specialist/Technologist (Athletic Trainer)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Acute Care)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Pathology (Anatomic Pathology & Clinical Pathology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Pathology (Anatomic Pathology & Clinical Pathology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Vascular & Interventional Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Emergency Medicine
100 HOSPITAL AVE
DU BOIS, PA 15801
Pediatrics (Neonatal-Perinatal Medicine)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Anesthetist, Certified Registered
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Anesthetist, Certified Registered
100 HOSPITAL AVE
DU BOIS, PA 15801
Dietitian, Registered
100 HOSPITAL AVE
DU BOIS, PA 15801
Internal Medicine (Hematology & Oncology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619075686, enumerated as an "individual" on September 21, 2006.

The provider is located at 100 HOSPITAL AVE DU BOIS, PA 15801 and the phone number is (814) 371-2200.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.