Doctor profile · Federal record
Dr. Kelly Peterson, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Maple Grove, MN
- NPI 1336424027
- Accepts Medicare
- 15 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9803 Vagabond Ln N
Maple Grove, MN 553111364
(612) 242-1341
Credentials & registration
- NPI registered
- October 2011 — 15 yrs on file
- Profile last updated
- January 26, 2012
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Minnesota #88989
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336424027. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
15
Distinct HCPCS
1
Medicare allowed
$2,083
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
01402 |
Anesthesia for procedure for total knee joint replacement | 15 | 15 | $139 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 15. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$69
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 3 | $68.86 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kelly Peterson's medical specialty?
Dr. Kelly Peterson practices Certified Registered Nurse Anesthetist in Maple Grove, MN.
Where does Dr. Kelly Peterson practice?
Dr. Kelly Peterson practices at 9803 Vagabond Ln N, Maple Grove, MN 553111364. Office phone: 6122421341.
What is Dr. Kelly Peterson's NPI?
Dr. Kelly Peterson's National Provider Identifier (NPI) is 1336424027, issued by NPPES.
Does Dr. Kelly Peterson accept Medicare assignment?
Yes. Dr. Kelly Peterson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Peterson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for procedure for total knee joint replacement (HCPCS 01402). Source: CMS Medicare Physician & Other Practitioners file.