MELISSA BROOKE PETERS – Certified Registered Nurse Anesthetist, NPI 1205615721

MELISSA BROOKE PETERS is a healthcare provider. based in Columbus, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN236676 (GA). The NPI Number for MELISSA BROOKE PETERS is 1205615721

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA BROOKE PETERS
NPI
1205615721
Phone
(706) 596-4000
Address
2122 MANCHESTER EXPY
Enumeration Date
25 September 2023
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705327179
Graduation Year
2023 (3 years ago)
PAC ID
7911358494
Group Practice PAC ID
2769381771
Professional Enrollment ID
I20240109002705
Address ID
GA305013715GA743XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MELISSA BROOKE PETERS

  • 2122 MANCHESTER EXPY

    COLUMBUS, GA 319046878

    Phone: (706) 596-4000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Haemonetics Corporation ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Haemonetics Corporation$15
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: 2024-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240109002705ICertified Registered Nurse Anesthetist (Crna)GATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31904)

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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: 2769381771View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YGA
-GA
Anesthesiology, Critical Care (Intensivists)GA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA

Reviews

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Frequently asked questions

Can I cross-check MELISSA BROOKE PETERS using NPI 1205615721?
NPI 1205615721 belongs to MELISSA BROOKE PETERS; compare other details if you need extra assurance.
Is MELISSA BROOKE PETERS shown as active in public data?
Registry records indicate MELISSA BROOKE PETERS maintains an active NPI.
How would a patient describe MELISSA BROOKE PETERS's focus?
For MELISSA BROOKE PETERS, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MELISSA BROOKE PETERS?
Travel planning: use Columbus, Georgia as the reference point for MELISSA BROOKE PETERS, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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