Ethan Petersen, CRNA
Certified Registered Nurse Anesthetist · Saint Cloud, MN
Ethan Petersen, CRNA is a certified registered nurse anesthetist with a practice address in Saint Cloud, Minnesota, and NPI 1851615108, issued on Mar 16, 2010. Check the license (Minnesota R 193342-2, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ethan Petersen
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- R 193342-2 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1406 6TH Ave N, Saint Cloud, MN 56303
- Phone
- (320) 251-2700
- Enumerated
- Mar 16, 2010
- Record last updated
- Mar 16, 2010 (not updated in 16 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20100715000875); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,663 in Minnesota → Look up another NPI →
Also registered at 1406 6TH Ave N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mohamed AhmedHospitalist Physician1982288254
- Tasneem Al NadafPharmacist1821930942
- Palistha Amatya, MDFamily Medicine Physician1528649837
- Jamelle Amouri, M.D.Psychiatry Physician1881126381
- Mary Amundson, APRN, CNPPediatrics Physician1003439241
- Shannon Anderson, APRN CNPPsychiatric/Mental Health Nurse Practitioner1740683416
Verify Ethan Petersen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license R 193342-2Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Centracare ClinicSaint Cloud, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Ethan Petersen among 2,663 certified registered nurse anesthetist records in Minnesota
Ethan Petersen, CRNA is one of 2,663 certified registered nurse anesthetist records with a practice address in Minnesota. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 51% of them.
- NPI issued2010 · 51% of these records are older, 47% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2010 · median 2013 among the 1,930 with a school on file
- Record last updated2010 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
102 certified registered nurse anesthetist records list a practice address in Saint Cloud
They are 102 of the 3,805 NPPES records with a practice address in Saint Cloud, and 2,663 certified registered nurse anesthetist records in Minnesota.
All 2,663 in Minnesota → Every provider in Saint Cloud → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Todd Belling, RN, CRNASaint Cloud, MN 563031114918695
- Allen Butkowski, RN, CRNASaint Cloud, MN 563031417948605
- Carol Daniel, CRNASaint Cloud, MN 563031366433849
- Roger Deboer, RN, CRNASaint Cloud, MN 563031164413647
- Robert Hilsgen, RN, CRNASaint Cloud, MN 563031407847981
- Christina King, CRNASaint Cloud, MN 563031598756082
- Mark Kremers, CRNA, MSSaint Cloud, MN 563031861483356
- Stephany Latunski, CRNASaint Cloud, MN 563031033100425
Common questions
What is Ethan Petersen, CRNA's NPI number?
Ethan Petersen, CRNA's National Provider Identifier (NPI) is 1851615108, issued on Mar 16, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Ethan Petersen, CRNA located?
The NPPES record lists a practice address at 1406 6TH Ave N, Saint Cloud, MN, 56303. Phone: (320) 251-2700. Providers update this record themselves, so call before visiting.
How can I verify Ethan Petersen, CRNA's license?
NPPES lists Minnesota license number R 193342-2, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.