Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Peter Matthew Van Dalen

Individual provider Certified Registered Nurse Anesthetist · NPI 1356095079

Peter Matthew Van Dalen is registered under 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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients110
Services billed 117 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Valley Anesthesia PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 70 clinicians in the practice; 12 are shown here.

Other providers in Lexington