PETER LIN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063014512

PETER LIN (CRNA) is a healthcare provider. based in Manchester, Connecticut. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 12.009428 (CT). The NPI Number for PETER LIN (CRNA) is 1063014512

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
PETER LIN (CRNA)
NPI
1063014512
Phone
(860) 646-1222
Address
71 Haynes St
Enumeration Date
10 November 2020
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606571920
Graduation Year
2020 (6 years ago)
PAC ID
7113316142
Group Practice PAC ID
9830110758
Professional Enrollment ID
I20211113000150
Address ID
CT060334305GL300XXBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT

Provider Addresses for PETER LIN (CRNA)

  • 71 Haynes St

    Manchester, CT 060404131

    Phone: (860) 646-1222

    Type: Location

  • 112 Mansfield Ave

    Willimantic, CT 062262045

    Phone: (860) 456-9116

    Type: Location

  • 45 Salem Tpke

    Norwich, CT 063606533

    Phone: (860) 859-9948

    Type: Location

  • 2400 Tamarack Ave Ste 100

    South Windsor, CT 060745556

    Phone: (860) 644-7336

    Type: Location

  • 580 Cottage Grove Rd

    Bloomfield, CT 060023088

    Phone: (860) 242-2193

    Type: Location

  • 153 NEEDLETREE LN

    GLASTONBURY, CT 060333528

    Phone: (302) 723-3906

    Type: Mailing

  • 71 HAYNES ST

    MANCHESTER, CT 060404131

    Phone: (860) 646-1222

    Type: Location

  • 759 CHESTNUT ST

    SPRINGFIELD, MA 011071619

    Phone: (413) 795-0754

    Fax: (413) 794-5439

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($73).

Total Amount

$288

General + Research + Ownership

Payments

12

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211113000150ICertified Registered Nurse Anesthetist (Crna)CTTBD
I20241223001023ICertified Registered Nurse Anesthetist (Crna)NHTBD
I20250210000165ICertified Registered Nurse Anesthetist (Crna)MATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope2323$0
00142Anesthesia for lens surgery1919$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1212$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 06040)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830110758View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CT
Gastroenterology, Internal MedicineCT
-NY
Nurse PractitionerCT
Certified Registered Nurse Anesthetist (Crna)NY
G A S T R O E N T E R O L O G YCT
P A T H O L O G YWA
Internal Medicine, GastroenterologyCT
Physician AssistantCT
Physician AssistantCT

Reviews

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Frequently asked questions

How do I look up PETER LIN (CRNA) by NPI?
Use NPI 1063014512 when you need to reference PETER LIN (CRNA) in forms, claims, or directories.
Is PETER LIN (CRNA) currently active in the NPI registry?
CMS-published data lists PETER LIN (CRNA) as an active registrant.
What field does PETER LIN (CRNA) work in?
You can think of PETER LIN (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does PETER LIN (CRNA) practice in Connecticut?
You will see Manchester, Connecticut on file for PETER LIN (CRNA) alongside any extra practice locations.
Is PETER LIN (CRNA) a real provider?
This page reflects official NPPES data for NPI 1063014512. Always confirm identity and privileges with the practice and licensing boards.

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