MRS. KATHLEEN LYN PECK CRNA
NPI 1871155119
Nurse Anesthetist, Certified Registered in Portsmouth, NH

Active since July 08, 2019PECOS EnrolledAccepts Medicare Assignment
333 BORTHWICK AVE, PORTSMOUTH, NH 03801(603) 433-4045(603) 559-4123 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2020, Jul 8, 2019 (2 updates tracked since 2019).

About Mrs. Kathleen Lyn Peck Crna NPPES

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

MRS. KATHLEEN LYN PECK CRNA (NPI 1871155119) is an individual nurse anesthetist, certified registered in Portsmouth, New Hampshire, licensed in New Hampshire (059649-23) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Portsmouth Regional Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871155119
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. KATHLEEN LYN PECKCredential: CRNA
Location Address333 BORTHWICK AVEPortsmouth, NH 03801-7128
Mailing Address13 Bittersweet LnStratham, NH 03885-2565 · (603) 957-1863
Fax(603) 559-4123
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 8, 2019
Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration
NPPES CertifiedJuly 23, 2020
✔ NPI 1871155119 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 NH · 059649-23
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.
333 BORTHWICK AVE, Portsmouth, NH 03801

Other Names 1

Former Name (1)Kathleen Lyn Deteso Rn

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

Mrs. Kathleen Lyn Peck 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 ID7315358868
PECOS Enrollment IDI20201204001604
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Peck reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
333 BORTHWICK AVENUE, PORTSMOUTH ANESTHESIA ASSOCIATES
Portsmouth, NH 03801
  • Reassigned Medicare billing, New Hampshire enrollment
  • 58 clinicians in this Medicare group
Anesthesiology
4 WEST RD
Stratham, NH 03885
  • Reassigned Medicare billing, New Hampshire enrollment
  • 45 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.

Areas of Expertise CMS Part B claims 6

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.

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447
This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.
34 services34 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
29 services29 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
27 services27 patients
Anesthesia for total hip replacement 01214
Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.
16 services16 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.
13 services13 patients
Anesthesia for other procedure or exam of knee joint using an endoscope 01400
Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Portsmouth Regional Hospital

Acute Care Hospitals · Portsmouth, NH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number300029
Location333 Borthwick AvePortsmouth, NH 03801 · Rockingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03801 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

Surgery
333 BORTHWICK AVE, SUITE 305
PORTSMOUTH, NH 03801
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Emergency Medicine
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Student in an Organized Health Care Education/Training Program
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Psychiatric Unit
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Emergency Medicine
333 BORTHWICK AVE
PORTSMOUTH, NH 03801
Emergency Medicine
333 BORTHWICK AVE
PORTSMOUTH, NH 03801

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 Kathleen Peck's NPI number?

The NPI number for Kathleen Peck is 1871155119. It was assigned to this individual provider in the NPPES registry on July 8, 2019. The provider is also known as Kathleen Lyn Deteso Rn.

Where is Kathleen Peck located?

Kathleen Peck practices at 333 Borthwick Ave, Portsmouth, NH 03801. The listed phone number is (603) 433-4045.

What is Kathleen Peck's specialty?

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

Is Kathleen Peck enrolled in Medicare?

Yes. Kathleen Peck 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 Kathleen Peck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Peck reassigns Medicare benefits to 2 organizations: Portsmouth Anesthesia Associates PA (Portsmouth, NH) and Stratham Anesthesia Associates PLLC (Stratham, NH). 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 Kathleen Peck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Peck accept?

Health plans from WellSense Health Plan list Kathleen Peck 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 Kathleen Peck affiliated with any hospitals?

According to CMS data, Kathleen Peck is affiliated with Portsmouth Regional Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Peck was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.