JEANNIE MARIE PETERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1992775506
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO
Provider Addresses for JEANNIE MARIE PETERSON (CRNA)
29 NW 1st Ln
LaMar, MO 647598105
Phone: (000) 000-0000
Type: Location
Girard Medical Center, 302, North Hospital Drive, Girard, Crawford County, Kansas, 66743, United States
GIRARD, KS 667432000
Phone: (417) 347-1078
Fax: (417) 347-1079
Type: Mailing
1102, West 32nd Street, Joplin, Newton County, Missouri, 64804, United States
JOPLIN, MO 648043503
Phone: (417) 347-1111
Type: Location
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 $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2023-02-22 • Largest payer in this snapshot: Amgen Inc. ($100).
Total Amount
$100
General + Research + Ownership
Payments
1
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $100 |
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: 2006-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040318000584 | I | Certified Registered Nurse Anesthetist (Crna) | KS | TBD |
| I20060809000327 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
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.
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 64759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | KS | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | KS | |
| Cardiovascular Disease (Cardiology), Cardiac Surgery, Interventional Cardiology | KS | |
| Nurse Practitioner | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| Internal Medicine | KS | |
| Certified Registered Nurse Anesthetist (Crna) | KS | |
| General Surgery | KS |
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