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MICHAEL GORDON PETERSON
NPI 1003620485
Nurse Practitioner - Gerontology in Saginaw, MI

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment
900 COOPER AVE STE 4300, SAGINAW, MI 48602(989) 583-7460(989) 583-7432 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Feb 5, 2025 (2 updates tracked since 2025).

About Michael Gordon Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL GORDON PETERSON (NPI 1003620485) is an individual gerontology provider in Saginaw, Michigan, licensed in Michigan (4704315175) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003620485
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameMICHAEL GORDON PETERSON
Location Address900 COOPER AVE STE 4300Saginaw, MI 48602-5182
Mailing Address900 Cooper Ave Ste 4300Saginaw, MI 48602-5182 · (989) 583-7460
Phone(989) 583-7460
Fax(989) 583-7432
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2025
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1003620485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704315175
900 COOPER AVE STE 4300, Saginaw, MI 48602
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Gordon Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355861402
PECOS Enrollment IDI20250220000888
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEHDI H BALUCH MD
Internal Medicine (Gastroenterology)
900 COOPER AVE STE 4300
SAGINAW, MI 48602
Saginaw County (989) 583-7460
DR. MENELITO DELA CRUZ LILAGAN D.O.
Internal Medicine (Gastroenterology)
900 COOPER AVE STE 4300
SAGINAW, MI 48602
Saginaw County (989) 583-7460
MS. ANGEL SUE THOMPSON ACNP-BC
Nurse Practitioner
900 COOPER AVE STE 4300
SAGINAW, MI 48602
Saginaw County (989) 583-7460
DR. MARK RAPHAEL DO
Internal Medicine (Gastroenterology)
900 COOPER AVE STE 4300
SAGINAW, MI 48602
Saginaw County (989) 583-7460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Peterson's NPI number?

The NPI number for Michael Peterson is 1003620485. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Michael Peterson located?

Michael Peterson practices at 900 Cooper Ave Ste 4300, Saginaw, MI 48602. The listed phone number is (989) 583-7460.

What is Michael Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Michael Peterson enrolled in Medicare?

Yes. Michael Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Peterson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Michael Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Peterson affiliated with any hospitals?

According to CMS data, Michael Peterson is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Peterson was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.