MELISSA KRISTINE PETERSEN NP
NPI 1033001029
Nurse Practitioner - Family in Peachtree City, GA

Active since July 16, 2025PECOS EnrolledAccepts Medicare Assignment
1401 GEORGIAN PARK STE 200, PEACHTREE CITY, GA 30269(770) 632-8909 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melissa Kristine Petersen Np NPPES

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

MELISSA KRISTINE PETERSEN NP (NPI 1033001029) is an individual family provider in Peachtree City, Georgia, licensed in Georgia (RN209021) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033001029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA KRISTINE PETERSENCredential: NP
Location Address1401 GEORGIAN PARK STE 200Peachtree City, GA 30269-6974
Mailing Address100 Woodbridge PlBrooks, GA 30205-1547 · (770) 856-2085
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 16, 2025
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
NPI 1033001029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN209021
1401 GEORGIAN PARK STE 200, Peachtree City, GA 30269

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

Melissa Kristine Petersen Np 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 ID9133619521
PECOS Enrollment IDI20251105000103
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.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30269 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Family Medicine
1401 GEORGIAN PARK STE 200
PEACHTREE CITY, GA 30269
Family Medicine
1401 GEORGIAN PARK STE 200
PEACHTREE CITY, GA 30269
Physician Assistant
1401 GEORGIAN PARK STE 200
PEACHTREE CITY, GA 30269
Physician Assistant (Medical)
1401 GEORGIAN PARK STE 200
PEACHTREE CITY, GA 30269

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 Melissa Petersen's NPI number?

The NPI number for Melissa Petersen is 1033001029. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Melissa Petersen located?

Melissa Petersen practices at 1401 Georgian Park Ste 200, Peachtree City, GA 30269. The listed phone number is (770) 632-8909.

What is Melissa Petersen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melissa Petersen enrolled in Medicare?

Yes. Melissa Petersen 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.

Is Melissa Petersen affiliated with any hospitals?

According to CMS data, Melissa Petersen is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Melissa Petersen was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.