JESSICA LYNN PETERSON
NPI 1912618000
Nurse Anesthetist, Certified Registered in Winona, MN

Q: What is Jessica Peterson's NPI number?

The NPI number for Jessica Peterson is 1912618000. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Q: What is Jessica Peterson'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 Jessica Peterson was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 08, 2022PECOS EnrolledAccepts Medicare Assignment

859 MANKATO AVE, WINONA, MN 55987(507) 457-4484 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2023, Dec 8, 2022 (2 updates tracked since 2022).

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About Jessica Lynn Peterson NPPES

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

JESSICA LYNN PETERSON (NPI 1912618000) is an individual nurse anesthetist, certified registered in Winona, Minnesota, licensed in Minnesota (2353425) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS, is affiliated with Winona Health Services, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912618000

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameJESSICA LYNN PETERSON

Location Address859 MANKATO AVEWinona, MN 55987-6435

Mailing Address811 W Mark StWinona, MN 55987-2635 · (561) 537-0767

Phone(507) 457-4484

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 8, 2022

Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1912618000 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 MN · 2353425

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.

859 MANKATO AVE, Winona, MN 55987

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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

Jessica Lynn Peterson 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 ID8224403068

PECOS Enrollment IDI20230410002490

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 Reassignment

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

Winona Health Services

0.2 mi

General Acute Care Hospital

855 MANKATO AVE
Winona, MN 55987

Reassigned Medicare billing, Minnesota enrollment
330 clinicians in this Medicare group

NPI 1295789352 (507) 454-3650

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.

21 services21 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.

20 services18 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.

17 services16 patients

Hospital Affiliations CMS Care Compare

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

Winona Health Services

Acute Care Hospitals · Winona, MN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240044

Location855 Mankato AvenueWinona, MN 55987 · Winona County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55987 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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 14

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

WINONA HEALTH SERVICES

Pharmacy (Specialty Pharmacy)