Kelly Rae Peterson, CRNA
Certified Registered Nurse Anesthetist · Maple Grove, MN
Kelly Rae Peterson, CRNA is a certified registered nurse anesthetist with a practice address in Maple Grove, Minnesota, and NPI 1336424027, issued on Oct 13, 2011. Check the license (Minnesota 88989, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Rae Peterson
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 88989 MN
Self-reported in NPPES; status is on the state search - Practice location
- 9803 Vagabond LN N, Maple Grove, MN 55311
- Phone
- (612) 242-1341
- Enumerated
- Oct 13, 2011
- Record last updated
- Jan 26, 2012 (not updated in 14 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20120104000059); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,663 in Minnesota → Look up another NPI →
Verify Kelly Rae Peterson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 88989Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $68.86
3 payments; by number, the most common kind was food and beverage; the largest payer was Abbott Laboratories. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Metropolitan Anesthesia Network LLPWaconia, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Rae Peterson among 2,663 certified registered nurse anesthetist records in Minnesota
Kelly Rae Peterson, 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 2011, is newer than 53% of them.
- NPI issued2011 · 53% of these records are older, 44% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2011 · median 2013 among the 1,930 with a school on file
- Record last updated2012 · 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).
Certified Registered Nurse Anesthetist providers in Minnesota
There are 2,663 certified registered nurse anesthetist records in Minnesota.
All 2,663 in Minnesota → Every provider in Maple Grove → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Richard Niedzielski, CRNABuffalo, MN 553131215983929
- Richard Phipps, CRNABuffalo, MN 553131518671460
- Jodie Tormanen, CRNABuffalo, MN 553131881641579
- Elizabeth Kingstedt, CRNAChamplin, MN 553161356744882
- Gail Andrewski, CRNAMinnetonka, MN 553051184955098
- Henrik Bjorndahl, CRNAMinnetonka, MN 553051053576454
- Cody CrawfordMinnetonka, MN 553051437623535
- Patricia Fortier, CRNAMinnetonka, MN 553051104979327
Common questions
What is Kelly Rae Peterson, CRNA's NPI number?
Kelly Rae Peterson, CRNA's National Provider Identifier (NPI) is 1336424027, issued on Oct 13, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Rae Peterson, CRNA located?
The NPPES record lists a practice address at 9803 Vagabond LN N, Maple Grove, MN, 55311. Phone: (612) 242-1341. Providers update this record themselves, so call before visiting.
How can I verify Kelly Rae Peterson, CRNA's license?
NPPES lists Minnesota license number 88989, 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.