Jeannie Marie Peterson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Joplin, MO

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Jeannie Marie Peterson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Joplin, Missouri. Her current practice location is 1102 W 32nd St, Joplin, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 347-1111.

Jeannie Marie Peterson is licensed to practice in Kansas (license number 55028) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992775506.

Contact Information

Jeannie Marie Peterson, CRNA
1102 W 32nd St,
Joplin, MO 64804-3503
(417) 347-1111
Not Available

Map and Direction




Provider's Profile

Full NameJeannie Marie Peterson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1102 W 32nd St, Joplin, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992775506
  • Provider Enumeration Date: 01/25/2006
  • Last Update Date: 04/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6800786336
  • Enrollment ID: I20040318000584

Medical Identifiers

Medical identifiers for Jeannie Marie Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992775506NPI-NPPES
100787980AMedicaidOK
915240105MedicaidMO
100389550DMedicaidKS
430061375OtherRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 55028 (Kansas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jeannie Marie Peterson allows following entities to bill medicare on her behalf.
Entity NameCoffeyville Regional Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265550891
PECOS PAC ID: 9032108865
Enrollment ID: O20040507000813
Entity NameFreeman Surgical Center Of Pittsburg, Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1881089076
PECOS PAC ID: 6608186895
Enrollment ID: O20151029002046
Entity NameSaint Lukes Hospital Of Allen County Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1639185457
PECOS PAC ID: 5496178691
Enrollment ID: O20200707001214
Entity NameSaint Lukes Hospital Of Allen County Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639185457
PECOS PAC ID: 5496178691
Enrollment ID: O20200805001823
Entity NameMercy Clinic Pittsburg Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912751884
PECOS PAC ID: 7618418088
Enrollment ID: O20240925002855

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeannie Marie Peterson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jeannie Marie Peterson, CRNA
302 N Hospital Dr,
Girard, KS 66743-2000

Ph: (417) 347-1078		Jeannie Marie Peterson, CRNA
1102 W 32nd St,
Joplin, MO 64804-3503

Ph: (417) 347-1111

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Joplin, MO

Mr. Austin Boone Mcclure, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Mrs. Allison Marie Lutz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    
Ms. Alenka Gloria Vale-dominguez, RN, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Jonathan Eric Drowns, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1111    
Terry W Miller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Julie A Burd, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1102 W 32nd St, Joplin, MO 64804
Phone: 417-347-1078    Fax: 417-347-1079
Ashley Nickole Khachi, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 100 Mercy Way, Joplin, MO 64804
Phone: 417-781-2727    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.