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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JONATHAN PETERSON M.D.
NPI 1003882010
Psychiatry & Neurology - Geriatric Psychiatry in Wabasha, MN

Active since February 28, 2006
1200 GRANT BLVD W, WABASHA, MN 55981(651) 565-5908(651) 565-5910 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Peterson M.d. NPPES

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

JONATHAN PETERSON M.D. (NPI 1003882010) is an individual geriatric psychiatry provider in Wabasha, Minnesota, licensed in Minnesota (33320) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1003882010
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameJONATHAN PETERSONCredential: M.D.
Location Address1200 GRANT BLVD WWabasha, MN 55981-1042
Mailing Address1200 Grant Blvd WWabasha, MN 55981-1042 · (651) 565-5908 · Fax (651) 565-5910
Phone(651) 565-5908
Fax(651) 565-5910
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1003882010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
License✔ Licensed in MN · 33320
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
1200 GRANT BLVD W, Wabasha, MN 55981
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Other Providers at the Same Location NPPES 20

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

KURT L HENN PHARMD
Pharmacist
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-5562
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Home Health
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
MATTHEW WAGNER
Nurse Practitioner (Family)
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-5600
SAINT ELIZABETHS HOSPITAL OF WABASHA INC
Clinic/Center
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
ALLISON HART BEITO MD
Psychiatry & Neurology (Psychiatry)
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
ELIZABETH NOFSINGER DPT
Physical Therapist
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
MARLENE KOSOBUCKI PT
Physical Therapist
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (651) 565-4531
DR. THOMAS EDWARD DUDLEY M.D.
Orthopaedic Surgery
1200 GRANT BLVD W
WABASHA, MN 55981
Wabasha County (608) 782-7300

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 Jonathan Peterson's NPI number?

The NPI number for Jonathan Peterson is 1003882010. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Jonathan Peterson located?

Jonathan Peterson practices at 1200 Grant Blvd W, Wabasha, MN 55981. The listed phone number is (651) 565-5908.

What is Jonathan Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

When was this NPI record last updated?

The NPPES record for Jonathan Peterson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.