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

Peter Matthew Van Dalen

Individual provider Certified Registered Nurse Anesthetist · NPI 1356095079

Peter Matthew Van Dalen is a Certified Registered Nurse Anesthetist (CRNA) in Lexington, Kentucky. Qualified in 2022, 4 years ago. Practices with Valley Anesthesia PC, a 70-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
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Practice location Address checks out

204 Shoreside Dr
Lexington, KY 40515-5606
Phone: (919) 592-0101
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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 255054 (NC)

Record details

NPI number1356095079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2022
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Valley Anesthesia Pc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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