ROBERT M PEDEN III CRNA
NPI 1710985601
Nurse Anesthetist, Certified Registered in Fort Bragg, NC
About Robert M Peden Iii Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROBERT M PEDEN III CRNA (NPI 1710985601) is an individual nurse anesthetist, certified registered in Fort Bragg, North Carolina, licensed in North Carolina (191894) and active in the NPI registry since July 2005. He maintains a secondary practice location in Laurinburg.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Robert M Peden Iii Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Robert Peden reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Fayetteville Anesthesia, PA
- 23 clinicians in this Medicare group
Laurinburg, NC 28352
- Reassigned Medicare billing, North Carolina enrollment
- 56 clinicians in this Medicare group
Edenton, NC 27932
- Reassigned Medicare billing, North Carolina enrollment
- 36 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.
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.
FORT BRAGG, NC 28310
FORT BRAGG, NC 28310
FT BRAGG, NC 28310
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 Robert Peden's NPI number?
The NPI number for Robert Peden is 1710985601. It was assigned to this individual provider in the NPPES registry on July 13, 2005.
Where is Robert Peden located?
Robert Peden practices at 2817 Reilly St, Fort Bragg, NC 28310. The listed phone number is (910) 907-6000.
What is Robert Peden's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Robert Peden enrolled in Medicare?
Yes. Robert Peden is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Robert Peden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Peden reassigns Medicare benefits to 3 organizations: Fayetteville Anesthesia, P.A. (Fayetteville, NC), Scotland Memorial Hospital Inc (Laurinburg, NC) and East Carolina Health - Chowan Inc (Edenton, NC). 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 Robert Peden'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 Robert Peden was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Robert M Peden III, CRNA · NPI 1710985601
Nurse Anesthetist, Certified Registered physician in Fort Bragg, North Carolina. Individual provider, active in the CMS NPPES registry since July 13, 2005.
## Identity
- **NPI:** 1710985601 (Entity type: Individual)
- **Enumerated:** July 13, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 191894 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2817 REILLY ST, Fort Bragg, NC 28310-3075
- **Phone:** (910) 907-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fayetteville Anesthesia, P.A. (NPI 1144362864, Fayetteville, NC); Scotland Memorial Hospital Inc (NPI 1407840374, Laurinburg, NC); East Carolina Health - Chowan Inc (NPI 1700864980, Edenton, NC) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2022
- **Other identifiers:** Medicaid 8052014 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1710985601) · Data from the CMS NPPES public registry.