TINA LYNN LOUIE PETERSON CRNA
NPI 1932560067
Nurse Anesthetist, Certified Registered in Vancouver, WA

Active since March 17, 2016Accepts Medicare Assignment
86.28/100
CMS Quality Rating
505 NE 87TH AVE, SUITE 46.5, VANCOUVER, WA 98664(360) 828-5396(360) 828-5455 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tina Lynn Louie Peterson Crna NPPES

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

TINA LYNN LOUIE PETERSON CRNA (NPI 1932560067) is an individual nurse anesthetist, certified registered in Vancouver, Washington, licensed in Washington (AP60637603) and active in the NPI registry since March 2016. She is affiliated with Providence Willamette Falls Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1932560067
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameTINA LYNN LOUIE PETERSONCredential: CRNA
Location Address505 NE 87TH AVE, SUITE 46.5Vancouver, WA 98664-1989
Mailing Address505 Ne 87th Ave, Suite 46.5Vancouver, WA 98664-1989 · (360) 828-5396 · Fax (360) 828-5455
Fax(360) 828-5455
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 17, 2016
Last NPPES UpdateApril 26, 2016
✔ NPI 1932560067 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 WA · AP60637603
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.
505 NE 87TH AVE, Vancouver, WA 98664

Other Names 1

Former Name (1)Tina Lynn Louie Peterson Crna

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

Tina Lynn Louie 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 ID6406146240
PECOS Enrollment IDI20170221000323

Medicare Billing Reassignments

10

Medicare enrollment records show Tina Peterson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
400 NE MOTHER JOSEPH PL
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 155 clinicians in this Medicare group
Anesthesiology
4805 NE GLISAN ST
Portland, OR 97213
  • Reassigned Medicare billing, Oregon enrollment
  • 419 clinicians in this Medicare group
Oncology, Radiation
3620 N INTERSTATE AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1609171081 (Washington)
  • 3,207 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1130 NW 22ND AVE, SUITE 615
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 63 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
9200 SE 91ST AVE STE 100
Happy Valley, OR 97086
  • Reassigned Medicare billing, Oregon enrollment
  • 17 clinicians in this Medicare group
Anesthesiology
9701 SW BARNES RD, SUITE 300
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 76 clinicians in this Medicare group
Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group
Anesthesiology
1001 N PROVIDENCE DR
Newberg, OR 97132
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group
Primary Care
205 MAIN ST
Aumsville, OR 97325
  • Reassigned Medicare billing, Oregon enrollment
  • 152 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1333 E BARNETT RD
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 64 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 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 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.
18 services17 patients
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.
15 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Willamette Falls Medical Center

Acute Care Hospitals · Oregon City, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380038
Location1500 Division StreetOregon City, OR 97045 · Clackamas County
Emergency services Birthing friendly

Santiam Hospital

Acute Care Hospitals · Stayton, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380056
Location1401 N 10th AvenueStayton, OR 97383 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

86.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.89
Promoting Interoperability100
Improvement Activities40
Cost69.42

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.

Ophthalmology
505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Audiologist
505 NE 87TH AVE, SUITE 150
VANCOUVER, WA 98664
Urology
505 NE 87TH AVE, SUITE 200
VANCOUVER, WA 98664
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, SUITE 120
VANCOUVER, WA 98664
Pediatrics (Adolescent Medicine)
505 NE 87TH AVE, STE 120
VANCOUVER, WA 98664
Ophthalmology
505 NE 87TH AVE, SUITE 100
VANCOUVER, WA 98664

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 Tina Peterson's NPI number?

The NPI number for Tina Peterson is 1932560067. It was assigned to this individual provider in the NPPES registry on March 17, 2016. The provider is also known as Tina Lynn Louie Peterson Crna.

Where is Tina Peterson located?

Tina Peterson practices at 505 NE 87th Ave Suite 46.5, Vancouver, WA 98664. The listed phone number is (360) 828-5396.

What is Tina Peterson's specialty?

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

Is Tina Peterson enrolled in Medicare?

Yes. Tina 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 Tina Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Peterson reassigns Medicare benefits to 10 organizations: Columbia Anesthesia Group P S (Vancouver, WA), Hospitalist Medicine Physicians Of Washington - Tcs (Portland, OR), Kaiser Foundation Health Plan Of The Northwest (Portland, OR), Complete Anesthesia Care LLC (Portland, OR), Somnus Anesthesia Northwest (Happy Valley, OR) and 5 more organizations, listed in the Medicare section above. 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 Tina Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Peterson accept?

Health plans from Moda Health Plan, Inc. list Tina 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 Tina Peterson affiliated with any hospitals?

According to CMS data, Tina Peterson is affiliated with Providence Willamette Falls Medical Center and Santiam Hospital.

When was this NPI record last updated?

The NPPES record for Tina Peterson was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.