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

Paul Peterson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1861448524

Paul Peterson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Overland Park, Kansas. Qualified in 1988, 38 years ago. Practices with John Fitzgibbon Memorial Hospital Inc, a 46-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
38
Licensed in
KS, MO
In the registry since
2006
Specialties on file
2
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

12300 Metcalf Ave Anesthesia Dept
Overland Park, KS 66213-1324
Phone: (816) 389-6030
Fax: (816) 389-6034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 54581 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 093647 (MO)

Record details

NPI number1861448524
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice John Fitzgibbon Memorial Hospital Inc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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