Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas J. Petelin, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417946856

Nicholas J. Petelin, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kansas City, Missouri. Qualified in 2004, 22 years ago. Practices with Truman Medical Center Incorporated, a 242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2005
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2301 Holmes St
Kansas City, MO 64108-2640
Phone: (816) 404-1127
Fax: (816) 404-1103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7900 Lees Summit Rd, Kansas City, MO 64139-1236 — (816) 404-9382

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 155240 (MO)

Record details

NPI number1417946856
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESDecember 1, 2020
Certification dateDecember 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Truman Medical Center Incorporated — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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