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Active NPI 1396805958 Individual Practitioner Male Practitioner

Peter L Procko , CRNA

Nurse Anesthetist, Certified Registered • Yulee, FL

Professional Overview & Biography Verified Profile Summary

Peter Procko, CRNA is a registered healthcare professional specializing in Nurse Anesthetist, Certified Registered in Yulee, FL. Practice services are available at 86208 SAND HICKORY TRL under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for procedure for total knee joint replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

86208 Sand Hickory Trl

Yulee, FL 320974295

Telephone 9045561404

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Yulee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
3 Specialists

Practicing in Yulee, FL (6544 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
01402 Anesthesia for procedure for total knee joint replacement
17 17 $1329.21 $153.49

Medical Specialties & State Licenses

Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License ME RNA113009

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License GA RN090565

Definition to come...

Registered Nurse - Critical Care Medicine

NUCC Taxonomy Code: 163WC0200X

State License FL ARNP1961972

Definition to come...

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License GA RN090565

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Nurse Anesthetist, Certified Registered

NUCC Taxonomy Code: 367500000X

State License SC 3390

(1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000559237L (GA)
Commercial Insurance / Payer ID Rrb
P00378017 (GA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 29, 2016

Registered at 86208 SAND HICKORY TRL, YULEE, FL 320974295 (Tel: 9045561404)

📍
Updated Business Mailing Address December 29, 2016

Registered at 86208 SAND HICKORY TRL, YULEE, FL 320974295 (Tel: 9045561404)

👤
Provider Name / Credentials Updated December 29, 2016

Recorded as PETER PROCKO, CRNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2016

Registered Nurse (License #ARNP1961972 in FL)

🟢
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396805958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: December 29, 2016
Sole Proprietor: Yes

Mailing Address

86208 Sand Hickory Trl

Yulee, FL 320974295

Phone: 9045561404

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.