JADEN PETERSON CRNA
NPI 1972332658
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Active since July 30, 2024Accepts Medicare Assignment
6501 N 19TH AVE, PHOENIX, AZ 85015(602) 795-6020 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2025, Jul 30, 2024 (2 updates tracked since 2024).

About Jaden Peterson Crna NPPES

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

JADEN PETERSON CRNA (NPI 1972332658) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (328674) and active in the NPI registry since July 2024. He maintains a secondary practice location in Augusta and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972332658
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJADEN PETERSONCredential: CRNA
Location Address6501 N 19TH AVEPhoenix, AZ 85015-1646
Mailing Address7301 N 16th St Ste 102Phoenix, AZ 85020-5266 · (480) 420-4027
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 30, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1972332658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AZ · 328674
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.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN316201 (GA)

Secondary Practice Location 1

Location 11120 15th StAugusta, GA 30912-0004 · Phone (435) 619-5548

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

Jaden 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 ID2567967979
PECOS Enrollment IDI20250925004986

Medicare Billing Reassignments

2

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

Nurse Anesthetist, Certified Registered
8273 GRAND RIVER RD STE 210
Brighton, MI 48114
  • Reassigned Medicare billing, Arizona enrollment
  • 370 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 174 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 85015 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 13

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

Nurse Anesthetist, Certified Registered
6501 N 19TH AVE
PHOENIX, AZ 85015
Anesthesiology
6501 N 19TH AVE
PHOENIX, AZ 85015
Radiology (Diagnostic Radiology)
6501 N 19TH AVE, RADIOLOGY DEPT.
PHOENIX, AZ 85015
Nurse Anesthetist, Certified Registered
6501 N 19TH AVE
PHOENIX, AZ 85015
Nurse Anesthetist, Certified Registered
6501 N 19TH AVE
PHOENIX, AZ 85015
Nurse Anesthetist, Certified Registered
6501 N 19TH AVE
PHOENIX, AZ 85015
Anesthesiology
6501 N 19TH AVE
PHOENIX, AZ 85015
Physiological Laboratory
6501 N 19TH AVE, STE A
PHOENIX, AZ 85015

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 Jaden Peterson's NPI number?

The NPI number for Jaden Peterson is 1972332658. It was assigned to this individual provider in the NPPES registry on July 30, 2024.

Where is Jaden Peterson located?

Jaden Peterson practices at 6501 N 19th Ave, Phoenix, AZ 85015. The listed phone number is (602) 795-6020.

What is Jaden Peterson's specialty?

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

Is Jaden Peterson enrolled in Medicare?

Yes. Jaden 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 Jaden Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaden Peterson reassigns Medicare benefits to 2 organizations: Anesthesia Partners & Management LLC (Brighton, MI) and Guide Anesthesia Az LLC (Phoenix, AZ). 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 Jaden Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaden Peterson accept?

Health plans from Blue Cross Blue Shield of Arizona list Jaden 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 Jaden Peterson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.