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

Nicholas Peterson, CAA

Individual provider Anesthesiologist Assistant · NPI 1386297869

Nicholas Peterson, CAA is an Anesthesiology Assistant in Willoughby, Ohio. Qualified in 2019, 7 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019

Practice location Address checks out

36000 Euclid Ave
Willoughby, OH 44094-4625
Phone: (440) 953-9600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 900 23rd St Nw, Washington, DC 20037-2342 — (202) 715-4000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 67.000388 (OH)

Record details

NPI number1386297869
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorYes
NPI enumeratedJuly 23, 2019
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021
Mailing address7757 Auburn Rd Ste 15, Concord Township, OH 44077-9604

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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