ERIC JULIAN PETERSON (CRNA,MSN) – Certified Registered Nurse Anesthetist, NPI 1265436059

ERIC JULIAN PETERSON (CRNA,MSN) is a healthcare provider. based in Willmar, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA,MSN. They hold a License No. 53163, R131880-1 (MN). The NPI Number for ERIC JULIAN PETERSON (CRNA,MSN) is 1265436059

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
ERIC JULIAN PETERSON (CRNA,MSN)
NPI
1265436059
Phone
(320) 214-1222
Address
1011 15TH AVE NW
Enumeration Date
9 June 2005
Last Update Date
29 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3203542222
Graduation Year
2001 (25 years ago)
PAC ID
0244220952
Group Practice PAC ID
8426457946
Professional Enrollment ID
I20040514000754
Address ID
MN562737823NE600XXPKWY300

Contacts

Secure Messaging
epeterson29800@direct.centracare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:21State licenses:1Other namesUpdated within 12 months

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for ERIC JULIAN PETERSON (CRNA,MSN)

  • 1011, 15th Avenue Northwest, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562012138

    Phone: (320) 214-1222

    Type: Mailing

  • 301, Becker Avenue Southwest, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562013302

    Phone: (320) 231-4120

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-05-14

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
I20040514000754ICertified Registered Nurse Anesthetist (Crna)MNTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope4342$0
00142Anesthesia for lens surgery2323$0
00812Anesthesia for exam of colon using an endoscope1515$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1111$0
View full utilization report →

Insurance plans in this area (ZIP 56201)

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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: 8426457946View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Physical Therapist In Private PracticeMN
Family PracticeMN
N E U R O L O G YMN
Nurse PractitionerMN
Internal MedicineMN
General SurgeryMN
O B S T E T R I C S/ G Y N E C O L O G YMN

Reviews

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Frequently asked questions

What is ERIC JULIAN PETERSON (CRNA,MSN)'s NPI number?
ERIC JULIAN PETERSON (CRNA,MSN)'s NPI is 1265436059 — the number used across U.S. healthcare to identify this provider.
Would ERIC JULIAN PETERSON (CRNA,MSN) appear as active to a payer?
You can treat ERIC JULIAN PETERSON (CRNA,MSN) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe ERIC JULIAN PETERSON (CRNA,MSN)'s focus?
For ERIC JULIAN PETERSON (CRNA,MSN), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is ERIC JULIAN PETERSON (CRNA,MSN) associated with Willmar?
Public fields place ERIC JULIAN PETERSON (CRNA,MSN) around Willmar, Minnesota. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ERIC JULIAN PETERSON (CRNA,MSN) is noted as June 9, 2005 where the registry provides it.

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