Doctor profile · Federal record
Dr. Jordan Peterson, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Saint Louis, MO
- NPI 1861767469
- Accepts Medicare
- MIPS 79.3 / 100 · 2023
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
12634 Olive Blvd, Dept Anesthesiology
Saint Louis, MO 631416337
(800) 862-9980
fax (314) 362-1185 - Mailing address
-
Po Box 7412011
Chicago, IL 606742011
Credentials & registration
- NPI registered
- March 2012 — 14 yrs on file
- Profile last updated
- April 17, 2025
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State license (1)
- Missouri #2012008849
- Medicaid
- MO #919578807
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861767469. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$1,842
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00731 |
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 12 | 12 | $154 |
In context: peer comparison
Among 156 peers in Saint Louis Certified Registered Nurse Anesthetist, average services per provider: 32. This provider delivers 0.4× the peer median.Open Payments
Industry payments received
All-time total
$77
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Takeda Pharmaceuticals U.S.A., INC. | 2 | $38.18 | |
| Elite Orthopedics, LLC | 1 | $22.59 | |
| Fisher & Paykel Healthcare INC | 1 | $16.25 |
By nature of payment
Frequently asked questions
What is Dr. Jordan Peterson's medical specialty?
Dr. Jordan Peterson practices Certified Registered Nurse Anesthetist in Saint Louis, MO.
Where does Dr. Jordan Peterson practice?
Dr. Jordan Peterson practices at 12634 Olive Blvd, Saint Louis, MO 631416337. Office phone: 8008629980.
What is Dr. Jordan Peterson's NPI?
Dr. Jordan Peterson's National Provider Identifier (NPI) is 1861767469, issued by NPPES.
Does Dr. Jordan Peterson accept Medicare assignment?
Yes. Dr. Jordan Peterson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jordan Peterson commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS 00731). Source: CMS Medicare Physician & Other Practitioners file.