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

Active since May 25, 2006Accepts Medicare Assignment
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: October 25, 2026.

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

About Paul Peterson Crna NPPES

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

PAUL PETERSON CRNA (NPI 1861448524) is an individual nurse anesthetist, certified registered in Overland Park, Kansas, licensed in Kansas (54581) and active in the NPI registry since May 2006. He is affiliated with Fitzgibbon Hospital and is a graduate of Other (1988).

NPPES Registry Identity

NPI1861448524
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NamePAUL PETERSONCredential: CRNA
Location Address12300 METCALF AVE, ANESTHESIA DEPTOverland Park, KS 66213-1324
Mailing Address9233 Ward Pkwy, Suite 230Kansas City, MO 64114-3366 · (816) 389-6030 · Fax (816) 389-6034
Phone(816) 389-6030
Fax(816) 389-6034
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1861448524 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
Licenses✔ Licensed in KS · 54581✔ Licensed in MO · 093647
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.
12300 METCALF AVE, Overland Park, KS 66213
Open in Google Maps ↗

Other Identifiers 1

Other19059024KS · Bcbs Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paul Peterson 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 ID8123045663
PECOS Enrollment IDI20070327000605

Medicare Billing Reassignment

Medicare enrollment records show Paul Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

John Fitzgibbon Memorial Hospital Inc
78 mi
Clinic/Center
2305 S 65 HIGHWAY
Marshall, MO 65340
  • Reassigned Medicare billing, Missouri enrollment
  • 70 clinicians in this Medicare group
NPI 1285650176 (660) 831-3553

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 large bowel using an endoscope 00811
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.
37 services37 patients
Anesthesia for exam of colon using an endoscope 00812
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.
28 services28 patients
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.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Fitzgibbon Hospital

Acute Care Hospitals · Marshall, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260142
Location2305 S 65 HighwayMarshall, MO 65340 · Saline County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66213 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
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 20

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

GAY ANN COLLITON CRNA
Nurse Anesthetist, Certified Registered
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Johnson County (816) 389-6030
ELIZABETH HYBL OTR/L
Occupational Therapist
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 317-7000
ELHONEI K ALEMU MOTR/L
Occupational Therapist
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (919) 317-7000
DR. VITTORIA COSTANTINO MD
Physical Medicine & Rehabilitation
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 296-5000
MRS. JUDY ANN SPRINGS RD,LD,CDE
Dietitian, Registered
12300 METCALF AVE, DIABETES CENTER
OVERLAND PARK, KS 66213
Johnson County (913) 317-7796
ANN SQUIRE CRNA
Nurse Anesthetist, Certified Registered
12300 METCALF AVE, ANESTHESIA DEPT
OVERLAND PARK, KS 66213
Johnson County (816) 389-6030
DR. MARTHA SUE FANNING M.D.
Emergency Medicine
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 317-7485
WILLIAM YOUNG II CSFA, ST
Specialist/Technologist, Other (Surgical Assistant)
12300 METCALF AVE
OVERLAND PARK, KS 66213
Johnson County (913) 317-7000

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 Paul Peterson's NPI number?

The NPI number for Paul Peterson is 1861448524. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Paul Peterson located?

Paul Peterson practices at 12300 Metcalf Ave Anesthesia Dept, Overland Park, KS 66213. The listed phone number is (816) 389-6030.

What is Paul Peterson's specialty?

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

Is Paul Peterson enrolled in Medicare?

Yes. Paul 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.

Which organization bills Medicare for Paul Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Peterson reassigns Medicare benefits to John Fitzgibbon Memorial Hospital Inc (Marshall, MO). The 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 Paul Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Peterson accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Paul 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 Paul Peterson affiliated with any hospitals?

According to CMS data, Paul Peterson is affiliated with Fitzgibbon Hospital.

When was this NPI record last updated?

The NPPES record for Paul Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.