Mrs. Kelly Rae Peterson is a Maple Grove, Minnesota based nurse anesthetist with 14 years of experience as Anesthesia Administration. She completed she graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Kelly Rae Peterson is 88989 for Anesthesia Administration in Minnesota. Her current practice location is 9803 Vagabond Ln N, Maple Grove. Patients can reach her at 612-242-1341. Mrs. Kelly Rae Peterson is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1336424027. Mrs. Kelly Rae Peterson is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Mrs. Kelly Rae Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
14+ years
Medical School Attended:
Other
Graduation Year:
2011
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
9803 Vagabond Ln N, Maple Grove, Minnesota, 55311-1364
Phone:
612-242-1341
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9931375557
Enrollment ID:
I20120104000059
NPI Number:
1336424027
NPI Enumeration Date:
13 Oct, 2011
NPI Last Update On:
26 Jan, 2012
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Kelly Rae Peterson are as mentioned below.
License Number
Specialization
State
Status
88989
Anesthesia Administration
Minnesota
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Ridgeview Medical Center (240056)
Waconia, MN
Acute Care Hospital
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mrs. Kelly Rae Peterson has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ridgeview Medical Center (9234041997)
167
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
9803 Vagabond Ln N, Maple Grove, Minnesota
Zip:
55311-1364
Phone Number:
612-242-1341
Fax Number:
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Patients can reach Mrs. Kelly Rae Peterson at 9803 Vagabond Ln N, Maple Grove, Minnesota or can call to book an appointment on 612-242-1341.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.