Kelly Peterson, CRNA
NPI 1336424027 · Certified Registered Nurse Anesthetist · Maple Grove, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Peterson, CRNA is a Certified Registered Nurse Anesthetist provider in Maple Grove, MN (NPI 1336424027).
Provider details
- NPI number
- 1336424027
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- 88989 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
14 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$69 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-10-13
- Last updated
- 2012-01-26
Frequently asked questions
- What is Kelly Peterson's NPI number?
- Kelly Peterson's National Provider Identifier (NPI) is 1336424027, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Peterson's specialty?
- Kelly Peterson is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Peterson located?
- Kelly Peterson's practice location on file with NPPES is 9803 Vagabond Ln N, Maple Grove, MN 55311-1364.
- What is Kelly Peterson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Peterson is (612) 242-1341.
- Does Kelly Peterson accept Medicare?
- Kelly Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Peterson's NPI active?
- Yes — Kelly Peterson's NPI (1336424027) is active in the NPPES registry as of the last update on 2012-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.