PETER TIERNEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1710696745

PETER TIERNEY (CRNA) is a healthcare provider. based in Plymouth, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2801 (MN). The NPI Number for PETER TIERNEY (CRNA) is 1710696745

Main info

Male
4 Years Of Experience
Name
PETER TIERNEY (CRNA)
NPI
1710696745
Phone
(763) 559-3779
Address
PO BOX 47159
Enumeration Date
17 November 2022
Last Update Date
18 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514644611
Graduation Year
2022 (4 years ago)
PAC ID
3577934447
Group Practice PAC ID
0648244152
Professional Enrollment ID
I20230201001198
Address ID
MN550928013WY5200XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,142 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for PETER TIERNEY (CRNA)

  • PO BOX 47159

    PLYMOUTH, MN 554470159

    Phone: (763) 559-3779

    Fax: (763) 450-3986

    Type: Mailing

  • 14700 28TH AVE N STE 20

    PLYMOUTH, MN 554474876

    Phone: (763) 559-3779

    Fax: (763) 450-3986

    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: 2023-02-01

PECOS data refreshed: 2026-06-15

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
I20230201001198ICertified 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.

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

Insurance plans in this area (ZIP 55447)

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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: 0648244152View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

How is PETER TIERNEY (CRNA) identified in CMS data?
CMS-hosted NPPES data lists PETER TIERNEY (CRNA) with NPI 1710696745.
Does the file indicate PETER TIERNEY (CRNA) is practicing under active NPI?
Directory data currently reports PETER TIERNEY (CRNA) as active.
What is PETER TIERNEY (CRNA)'s specialty?
The listing groups PETER TIERNEY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does PETER TIERNEY (CRNA) serve?
PETER TIERNEY (CRNA)'s listing highlights Plymouth, Minnesota; more addresses can appear in NPPES.
Is the information about PETER TIERNEY (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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