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JEANNIE MARIE PETERSON CRNA
NPI 1992775506
Nurse Anesthetist, Certified Registered in Joplin, MO

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
1102 W 32ND ST, JOPLIN, MO 64804(417) 347-1111 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2024, May 17, 2016 (2 updates tracked since 2016).

About Jeannie Marie Peterson Crna NPPES

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

JEANNIE MARIE PETERSON CRNA (NPI 1992775506) is an individual nurse anesthetist, certified registered in Joplin, Missouri, licensed in Kansas (55028) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Via Christi Hospital Pittsburg Inc, and maintains a secondary practice location in Lamar.

NPPES Registry Identity

NPI1992775506
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJEANNIE MARIE PETERSONCredential: CRNA
Location Address1102 W 32ND STJoplin, MO 64804-3503
Mailing Address302 N Hospital DrGirard, KS 66743-2000 · (417) 347-1078 · Fax (417) 347-1079
Phone(417) 347-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 25, 2006
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1992775506 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 KS · 55028
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.
1102 W 32ND ST, Joplin, MO 64804
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Secondary Practice Location 1

Location 129 NW 1st LnLaMar, MO 64759-8105 · Phone (000) 000-0000

Other Identifiers 4

Medicaid100787980AOK
Medicaid915240105MO
Medicaid100389550DKS
Other430061375Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.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

Jeannie Marie 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 ID6800786336
PECOS Enrollment IDI20040318000584
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

6

Medicare enrollment records show Jeannie Peterson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic Pittsburg LLC
25 mi
Internal Medicine
1 MT CARMEL WAY
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 82 clinicians in this Medicare group
NPI 1912751884 (620) 231-6100
Freeman Surgical Center Of Pittsburg, LLC
27 mi
Ambulatory Surgical
100 N PINE ST
Pittsburg, KS 66762
  • Reassigned Medicare billing, Kansas enrollment
  • 16 clinicians in this Medicare group
NPI 1881089076 (620) 231-3750
Cox Barton County Hospital
33 mi
Rural Health
29 NW 1ST LN
Lamar, MO 64759
  • Reassigned Medicare billing, Missouri enrollment
  • 90 clinicians in this Medicare group
NPI 1255847745 (417) 681-5284
Saint Luke's Hospital Of Allen County, Inc
53 mi
Clinic/Center
403 WOODLAND HILLS BLVD
Fort Scott, KS 66701
  • Reassigned Medicare billing, Kansas enrollment
  • Medicare enrollment name: Saint Lukes Hospital Of Allen County Inc
  • Also billed through NPI 1639185457 (Kansas)
  • 52 clinicians in this Medicare group
NPI 1063984227 (620) 365-1234
Coffeyville Regional Medical Center Inc
63 mi
Anesthesiology
1400 W 4TH STREET
Coffeyville, KS 67337
  • Reassigned Medicare billing, Kansas enrollment
  • 30 clinicians in this Medicare group
NPI 1265550891 (620) 251-1200
Saint Lukes Hospital Of Garnett Inc
94 mi
Critical Access
421 S MAPLE ST
Garnett, KS 66032
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1073531174 (Kansas)
  • 54 clinicians in this Medicare group
NPI 1316911878 (785) 448-3131

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Via Christi Hospital Pittsburg Inc

Acute Care Hospitals · Pittsburg, KS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170006
Location1 Mt Carmel WayPittsburg, KS 66762 · Crawford County
Emergency services Birthing friendly

Girard Medical Center

Critical Access Hospitals · Girard, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171376
Location302 North Hospital DriveGirard, KS 66743 · Crawford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

GEOFFREY GLEN GRAHAM DO
Internal Medicine (Gastroenterology)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-4570
MAJED SAFIYEH M.D.
Internal Medicine (Critical Care Medicine)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (432) 599-8999
MR. AUSTIN BOONE MCCLURE CRNA
Nurse Anesthetist, Certified Registered
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-1078
MRS. MARGARET HULSE RN
Registered Nurse (Medical-Surgical)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 502-4548
DR. ALEXANDER MILES JOSEPH VRASPIR DO
Student in an Organized Health Care Education/Training Program
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-1111
DR. JOHN K WILLIAMS MD
Radiology (Diagnostic Radiology)
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-1213
SANDIP J NAIK MD
Hospitalist
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-4570
MRS. STEPHANIE JENE' (SMITH) BRADSHAW CCC-SLP
Speech-Language Pathologist
1102 W 32ND ST
JOPLIN, MO 64804
Newton County (417) 347-6616

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 Jeannie Peterson's NPI number?

The NPI number for Jeannie Peterson is 1992775506. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Jeannie Peterson located?

Jeannie Peterson practices at 1102 W 32nd St, Joplin, MO 64804. The listed phone number is (417) 347-1111.

What is Jeannie Peterson's specialty?

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

Is Jeannie Peterson enrolled in Medicare?

Yes. Jeannie 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 Jeannie Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeannie Peterson reassigns Medicare benefits to 6 organizations: Mercy Clinic Pittsburg LLC (Pittsburg, KS), Freeman Surgical Center Of Pittsburg, LLC (Pittsburg, KS), Cox Barton County Hospital (Lamar, MO), Saint Luke's Hospital Of Allen County, Inc (Fort Scott, KS), Coffeyville Regional Medical Center Inc (Coffeyville, KS) and 1 more organization, 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 Jeannie Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeannie Peterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 1 other insurer list Jeannie 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 Jeannie Peterson affiliated with any hospitals?

According to CMS data, Jeannie Peterson is affiliated with Via Christi Hospital Pittsburg Inc and Girard Medical Center.

When was this NPI record last updated?

The NPPES record for Jeannie Peterson was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.