PETERSON NGUYEN CRNA NPI 1619479797

NPI Information

  • NPI: 1619479797
  • Provider Name: PETERSON NGUYEN, CRNA
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 22 S GREENE ST FL 11
    BALTIMORE, MD
    ZIP 21201
  • Phone: (667) 214-1616

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NPI Details

Peterson Nguyen, CRNA is a psychiatric/mental health nurse practitioner in Baltimore, MD with 8 years of experience. Peterson Nguyen, CRNA NPI is 1619479797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22 S GREENE ST FL 11
BALTIMORE, MD
ZIP 21201-544
Phone: (667) 214-1616
Fax: (410) 328-1674

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for procedure for total knee joint replacement (HCPCS:01402)
  • Anesthesia for exam of colon using an endoscope (HCPCS:00812)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for procedure on anus and rectum (HCPCS:00902)

The enumeration date for this NPI number is 3/5/2018 and was last updated on 11/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR217862MARYLANDYes
2367500000XNurse Anesthetist, Certified RegisteredR217862MARYLANDNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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