Individual ProviderPeter Nelson LeyvaNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 S Huntington Ave, Boston, MA 02130-4817(617) 232-9500PECOS EnrollmentBased on the most recent information from CMS, provider Peter Nelson Leyva does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1023109980Provider TypeIndividualFull NameLeyva, Peter NelsonTitleMr.CredentialCRNAGenderMaleSole ProprietorNoEnumeration Date9/27/2006Last Updated8/17/2012Contact InformationPractice LocationPractice Address150 S Huntington Ave, Boston, MA 02130-4817Phone(617) 232-9500FaxUnlisted FaxMailing LocationMailing Address1005 Pleasant St, Weymouth, MA 02189-2534PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseNA142755Massachusetts