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ALEC PETERSEN
NPI 1013370568
Internal Medicine in Pembroke Pines, FL

Active since April 01, 2016PECOS Enrolled
880 SW 145TH AVE STE 202, PEMBROKE PINES, FL 33027(615) 275-6612 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2023, Oct 4, 2023, Jul 24, 2020 and 2 more (5 updates tracked since 2016).

About Alec Petersen NPPES

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

ALEC PETERSEN (NPI 1013370568) is an individual internal medicine provider in Pembroke Pines, Florida, licensed in Florida (ME145182) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013370568
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameALEC PETERSEN
Location Address880 SW 145TH AVE STE 202Pembroke Pines, FL 33027-6171
Mailing Address2801 Sw 149th Ave Ste 100Miramar, FL 33027-4166 · (617) 732-6660 · Fax (617) 975-0985
Phone(615) 275-6612
Sole ProprietorNo
Enumeration DateApril 1, 2016
Last NPPES UpdateJanuary 19, 20245 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1013370568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME145182✔ Licensed in TN · 67960✔ Licensed in OH · 35.144623✔ Licensed in AL · 45918✔ Licensed in IL · 036167875✔ Licensed in NC · 2021-02940✔ Licensed in TX · T5434
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
880 SW 145TH AVE STE 202, Pembroke Pines, FL 33027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alec Petersen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Alec Petersen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Devoted Medical Group Professional Corporation
Same address
Primary Care
880 SW 145TH AVE STE 202
Pembroke Pines, FL 33027
  • Reassigned Medicare billing, Florida, Kentucky and Tennessee enrollments
  • 64 clinicians in this Medicare group
NPI 1245838168 (866) 849-0692
Devoted Medical Nc PC
649 mi
Primary Care
5576 GREENVILLE HWY
Zirconia, NC 28790
  • Reassigned Medicare billing, North Carolina enrollment
  • 34 clinicians in this Medicare group
NPI 1295443554 (866) 849-0692
Devoted Medical Group Of Texas Inc
970 mi
Primary Care
20405 STATE HIGHWAY 249 STE 325
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 122 clinicians in this Medicare group
NPI 1982202800 (617) 958-1611
Devoted Medical PA PC
1,007 mi
Primary Care
100 S JUNIPER ST FL 3
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 19 clinicians in this Medicare group
NPI 1114642683 (866) 849-0692
Devoted Medical Group Inc
1,068 mi
Primary Care
3700 PARK EAST DR STE 450
Beachwood, OH 44122
  • Reassigned Medicare billing, Alabama enrollment
  • 48 clinicians in this Medicare group
NPI 1609474527 (617) 958-1611
Devoted Medical PC
1,171 mi
Primary Care
200 S WACKER DR FL 31
Chicago, IL 60606
  • Reassigned Medicare billing, Illinois enrollment
  • 40 clinicians in this Medicare group
NPI 1467125203 (866) 849-0692

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33027 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 20

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

ANUP DESAI FNP-C
Nurse Practitioner (Family)
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692
MRS. TRICIA A RIDDLE FNP-BC
Nurse Practitioner
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692
CAMILA ESCOBAR RDN, CDCES, MS
Dietitian, Registered
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692
TAMAS WILLIAM MURPHY RN BSN
Registered Nurse
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692
MS. SAMANTHA CARLA LEON ARNP
Nurse Practitioner (Family)
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692
MRS. HANNA LING APRN, AGPCNP-BC
Nurse Practitioner (Adult Health)
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692
KATRINA OCONNOR APRN, ANP-C
Nurse Practitioner (Family)
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692
CARRIE HUFFSTICKLER DNP, ARNP, AGNP-C
Nurse Practitioner (Family)
880 SW 145TH AVE STE 202
PEMBROKE PINES, FL 33027
Broward County (866) 849-0692

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 Alec Petersen's NPI number?

The NPI number for Alec Petersen is 1013370568. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Alec Petersen located?

Alec Petersen practices at 880 SW 145th Ave Ste 202, Pembroke Pines, FL 33027. The listed phone number is (615) 275-6612.

What is Alec Petersen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alec Petersen enrolled in Medicare?

Yes. Alec Petersen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alec Petersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alec Petersen reassigns Medicare benefits to 6 organizations: Devoted Medical Group Professional Corporation (Pembroke Pines, FL), Devoted Medical Nc PC (Zirconia, NC), Devoted Medical Group Of Texas Inc (Houston, TX), Devoted Medical PA PC (Philadelphia, PA), Devoted Medical Group Inc (Beachwood, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alec Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alec Petersen was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.