DR. KIMBERLY PETERSEN MD
NPI 1043247877
Family Medicine in Perham, MN
About Dr. Kimberly Petersen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KIMBERLY PETERSEN MD (NPI 1043247877) is an individual family medicine provider in Perham, Minnesota, licensed in Minnesota (35969) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains a secondary practice location in Minneapolis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kimberly Petersen Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Petersen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Perham, MN 56573
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1932113768 (Minnesota)
- 69 clinicians in this Medicare group
Pelican Rapids, MN 56572
- Reassigned Medicare billing, Minnesota enrollment
- 376 clinicians in this Medicare group
Minneapolis, MN 55487
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hennepin County Medical Center
Acute Care Hospitals · Minneapolis, MNPerham Health
Critical Access Hospitals · Perham, MNSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56573 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Kimberly Petersen's NPI number?
The NPI number for Kimberly Petersen is 1043247877. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Kimberly Petersen located?
Kimberly Petersen practices at 1000 Coney St W, Perham, MN 56573. The listed phone number is (218) 347-1200.
What is Kimberly Petersen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kimberly Petersen enrolled in Medicare?
Yes. Kimberly 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.
Which organizations bill Medicare for Kimberly Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Petersen reassigns Medicare benefits to 3 organizations: Perham Hospital District (Perham, MN), Sanford Medical Center Fargo (Pelican Rapids, MN) and Hennepin Healthcare System, Inc (Minneapolis, MN). 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 Kimberly Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Petersen accept?
Health plans from Sanford Health Plan and Security Health Plan list Kimberly Petersen 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 Kimberly Petersen affiliated with any hospitals?
According to CMS data, Kimberly Petersen is affiliated with Hennepin County Medical Center, Perham Health and Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Kimberly Petersen was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kimberly Petersen, MD · NPI 1043247877
Family Medicine physician in Perham, Minnesota. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1043247877 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35969 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 CONEY ST W, Perham, MN 56573-2102
- **Phone:** (218) 347-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Perham Hospital District (NPI 1790799518, Perham, MN); Sanford Medical Center Fargo (NPI 1114953627, Pelican Rapids, MN); Hennepin Healthcare System, Inc (NPI 1528361573, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Wisconsin School Of Medicine, class of 1991
## Record status
- **NPPES last updated:** August 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043247877) · Data from the CMS NPPES public registry.