Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

PAUL PETERSON CRNA
NPI 1861448524
Nurse Anesthetist, Certified Registered in Overland Park, KS

Active since May 25, 2006
12300 METCALF AVE, ANESTHESIA DEPT, OVERLAND PARK, KS 66213(816) 389-6030(816) 389-6034 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2026, May 19, 2022 (2 updates tracked since 2022).

  • Individual
  • Male
  • Years of Experience 39
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About PAUL PETERSON

This page provides the complete NPI Profile along with additional information for Paul Peterson, a provider established in Overland Park, Kansas with a medical specialization in Nurse Anesthetist, Certified Registered and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1861448524 assigned on May 2006. The practitioner's primary taxonomy code is 367500000X with license number 54581 (KS). The provider is registered as an individual and his NPI record was last updated July 2026.

NPI
1861448524
Provider Name
PAUL PETERSON CRNA
Gender
Male
Entity Type
Individual
Location Address
12300 METCALF AVE ANESTHESIA DEPT OVERLAND PARK, KS 66213
Location Phone
(816) 389-6030
Location Fax
(816) 389-6034
Mailing Address
9233 WARD PKWY SUITE 230 KANSAS CITY, MO 64114
Mailing Phone
(816) 389-6030
Mailing Fax
(816) 389-6034
Medical School Name
OTHER
Graduation Year
1988
Is Sole Proprietor?
No
Enumeration Date
05-25-2006
Last Update Date
07-13-2026
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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.
54581
License State
KS
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

093647 (MO)

Insurance Plans Accepted

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

  • Blue KC Community Silver Preferred-Care Blue EPO - EPO
  • Blue KC First Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
  • Blue KC Standard Gold Preferred-Care Blue EPO - EPO
  • Blue KC Standard Silver Preferred-Care Blue EPO - EPO

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.

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
19059024OTHER (01)KSBCBS NUMBER

Medicare Participation & PECOS Enrollment Status

Paul Peterson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 8123045663

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070327000605

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for exam of colon using an endoscope

Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.

This service was performed 28 times for 28 patients

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

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.

This service was performed 15 times for 13 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 37 times for 37 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paul Peterson is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
FITZGIBBON HOSPITAL2305 S 65 HIGHWAY
MARSHALL, MO 65340
(660) 886-7431Acute Care Hospitals

Reviews for PAUL PETERSON CRNA

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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 1861448524, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
4
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 6 → 12 → 3 4 → 8 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 8 + 4 + 1 + 6 + 5 + 4 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1861448524.

Other Providers at the Same Location


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

Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Radiology (Diagnostic Radiology)
12300 METCALF AVE
OVERLAND PARK, KS 66213
Radiology (Diagnostic Radiology)
12300 METCALF AVE
OVERLAND PARK, KS 66213
Anesthesiology
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Nurse Anesthetist, Certified Registered
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Nurse Anesthetist, Certified Registered
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Nurse Anesthetist, Certified Registered
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Dietitian, Registered
12300 METCALF AVE, DIABETES CENTER
OVERLAND PARK, KS 66213
Dietitian, Registered
12300 METCALF AVE
OVERLAND PARK, KS 66213
Pathology (Anatomic Pathology & Clinical Pathology)
12300 METCALF AVE
OVERLAND PARK, KS 66213
Physical Medicine & Rehabilitation
12300 METCALF AVE
OVERLAND PARK, KS 66213
Physical Medicine & Rehabilitation
12300 METCALF AVE
OVERLAND PARK, KS 66213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861448524, enumerated as an "individual" on May 25, 2006.

The provider is located at 12300 METCALF AVE ANESTHESIA DEPT OVERLAND PARK, KS 66213 and the phone number is (816) 389-6030.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas City, Blue. Please consult your insurance carrier or call the provider to verify.

Paul Peterson is affiliated with: FITZGIBBON HOSPITAL.