MS. JORDAN ANNE PETERSON CRNA
NPI 1861767469
Nurse Anesthetist, Certified Registered in Saint Louis, MO
About Ms. Jordan Anne Peterson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JORDAN ANNE PETERSON CRNA (NPI 1861767469) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2012008849) and active in the NPI registry since March 2012. She is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Ms. Jordan Anne 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jordan Peterson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 221 clinicians in this Medicare group
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 81 clinicians in this Medicare group
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 264 clinicians in this Medicare group
Addison, TX 75001
- Reassigned Medicare billing, Missouri enrollment
- 175 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
CREVE COEUR, MO 63141
SAINT LOUIS, MO 63141
SAINT LOUIS, MO 63141
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 Jordan Peterson's NPI number?
The NPI number for Jordan Peterson is 1861767469. It was assigned to this individual provider in the NPPES registry on March 14, 2012.
Where is Jordan Peterson located?
Jordan Peterson practices at 12634 Olive Blvd Dept Anesthesiology, Saint Louis, MO 63141. The listed phone number is (800) 862-9980.
What is Jordan Peterson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jordan Peterson enrolled in Medicare?
Yes. Jordan 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 organizations bill Medicare for Jordan Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Peterson reassigns Medicare benefits to 4 organizations: Metro-West Anesthesia Group Inc (Chesterfield, MO), Mid-West Anesthesia Partners, LLC (Chesterfield, MO), Washington University (Saint Louis, MO) and Orthomed Staffing LLC (Addison, TX). 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 Jordan Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jordan Peterson accept?
Health plans from Blue Cross and Blue Shield of Kansas City list Jordan 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.
When was this NPI record last updated?
The NPPES record for Jordan Peterson was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Jordan Anne Peterson, CRNA · NPI 1861767469
Nurse Anesthetist, Certified Registered physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 14, 2012.
## Identity
- **NPI:** 1861767469 (Entity type: Individual)
- **Enumerated:** March 14, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2012008849 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 12634 OLIVE BLVD, DEPT ANESTHESIOLOGY, Saint Louis, MO 63141-6337
- **Phone:** (800) 862-9980 · **Fax:** (314) 362-1185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Metro-West Anesthesia Group Inc (NPI 1245427335, Chesterfield, MO); Mid-West Anesthesia Partners, LLC (NPI 1851254304, Chesterfield, MO); Washington University (NPI 1528005642, Saint Louis, MO); Orthomed Staffing LLC (NPI 1225514276, Addison, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 919578807 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1861767469) · Data from the CMS NPPES public registry.