RONALD KYLE PETERSEN CRNA
NPI 1720598014
Nurse Anesthetist, Certified Registered in Winston-salem, NC

Q: What is Ronald Petersen's NPI number?

The NPI number for Ronald Petersen is 1720598014. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Q: What is Ronald Petersen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ronald Petersen was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since October 02, 2017Accepts Medicare Assignment

1 MEDICAL CENTER BOULEVARD, WINSTON-SALEM, NC 27103(336) 716-2011 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ronald Kyle Petersen Crna NPPES

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

RONALD KYLE PETERSEN CRNA (NPI 1720598014) is an individual nurse anesthetist, certified registered in Winston-salem, North Carolina, licensed in North Carolina (280909) and active in the NPI registry since October 2017. He is affiliated with North Carolina Baptist Hospital and is a graduate of Other (2017).

NPPES Registry Identity

NPI1720598014

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameRONALD KYLE PETERSENCredential: CRNA

Location Address1 MEDICAL CENTER BOULEVARDWinston-salem, NC 27103

Mailing Address180 Rolling Meadow LnClemmons, NC 27012-6744 · (770) 842-9916

Phone(336) 716-2011

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 2, 2017

Last NPPES UpdateJune 16, 2018

✔ NPI 1720598014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in NC · 280909

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.

1 MEDICAL CENTER BOULEVARD, Winston-salem, NC 27103

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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

Ronald Kyle Petersen 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.

PECOS PAC ID5496012908

PECOS Enrollment IDI20171207002156

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

36 services36 patients

Anesthesia for other procedure on neck area (1 year or older) 00320

Anesthesia for a procedure on the neck area is a medical service provided to ensure you remain comfortable and pain-free during the operation. It involves administering medication to numb the neck region or to induce sleep. The method chosen depends on the specific procedure and your overall health.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY LYNN GOOD CRNA

Nurse Anesthetist, Certified Registered

1 MEDICAL CENTER BOULEVARD
WINSTON-SALEM, NC 27103

Forsyth County (336) 716-2011

DR. LEILA HAMZI DEWITT D.O.

Pediatrics

1 MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27103

Forsyth County (336) 543-6226

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 Ronald Petersen's NPI number?

The NPI number for Ronald Petersen is 1720598014. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is Ronald Petersen located?

Ronald Petersen practices at 1 Medical Center Boulevard, Winston-Salem, NC 27103. The listed phone number is (336) 716-2011.

What is Ronald Petersen's specialty?

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

Is Ronald Petersen enrolled in Medicare?

Yes. Ronald Petersen 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.

Is Ronald Petersen affiliated with any hospitals?

According to CMS data, Ronald Petersen is affiliated with North Carolina Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Petersen was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.