JEAN MARIE PETERSON AGNP-C
NPI 1043763386
Nurse Practitioner - Adult Health in Stony Brook, NY

Q: What is Jean Peterson's NPI number?

The NPI number for Jean Peterson is 1043763386. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Q: What is Jean Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jean Peterson was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 03, 2016PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

STONY BROOK MEDICINE, HSC DEPT OF UROLOGY ROOM 040 LEVEL 9, STONY BROOK, NY 11794(631) 444-6270(631) 444-6204 Get Directions Write a Review

NPPES record last updated: April 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jean Marie Peterson Agnp-c NPPES

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

JEAN MARIE PETERSON AGNP-C (NPI 1043763386) is an individual adult health provider in Stony Brook, New York, licensed in New York (307876) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2016).

NPPES Registry Identity

NPI1043763386

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJEAN MARIE PETERSONCredential: AGNP-C

Location AddressSTONY BROOK MEDICINE, HSC DEPT OF UROLOGY ROOM 040 LEVEL 9Stony Brook, NY 11794-8093

Mailing Address120 Division AveWest Sayville, NY 11796-1303 · (631) 750-1523

Phone(631) 444-6270

Fax(631) 444-6204

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2016

Enumeration DateAugust 3, 2016

Last NPPES UpdateApril 6, 2017

✔ NPI 1043763386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 307876

STONY BROOK MEDICINE, Stony Brook, NY 11794

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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

Jean Marie Peterson Agnp-c 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 ID143508796

PECOS Enrollment IDI20161102000354

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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

26 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services20 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

98.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

ANISHA MAHAT

Student in an Organized Health Care Education/Training Program

STONY BROOK MEDICINE
STONY BROOK, NY 11794

Suffolk County (631) 638-8517

CHRISTOPHER TAIWO

Physician Assistant

STONY BROOK MEDICINE, DEPT. OF EMERGENCY MEDICINE, HSC, LEVEL 4, ROOM 080
STONY BROOK, NY 11794

Suffolk County (631) 444-2478

DIANE M SANTANGELO ANP-C

Nurse Practitioner (Adult Health)

STONY BROOK MEDICINE, NICOLLS ROAD HOSPITAL LEVEL 13
STONY BROOK, NY 11794

Suffolk County (631) 444-8106

CAITLIN ELIZABETH KEANE-BISCONTI D.O.

Pediatrics

STONY BROOK MEDICINE, HSC T-11, ROOM 040 DEPARTMENT OF PEDIATRICS
STONY BROOK, NY 11794

Suffolk County (631) 444-2020

TEGAN SYDNEY FUNG DO

Student in an Organized Health Care Education/Training Program

STONY BROOK MEDICINE, HSC LEVEL 4, ROOM 174
STONY BROOK, NY 11794

Suffolk County (631) 638-8517

ALEXANDER GREGORY HILSER MD

Student in an Organized Health Care Education/Training Program

STONY BROOK MEDICINE, HSC LEVEL 4, ROOM 174
STONY BROOK, NY 11794

Suffolk County (631) 638-8517

PAMELA SUE KIM

Surgery

STONY BROOK MEDICINE, 101 NICOLLS ROAD, HSC T19-090
STONY BROOK, NY 11794

Suffolk County (631) 444-2040

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 Jean Peterson's NPI number?

The NPI number for Jean Peterson is 1043763386. It was assigned to this individual provider in the NPPES registry on August 3, 2016.

Where is Jean Peterson located?

Jean Peterson practices at Stony Brook Medicine Hsc Dept Of Urology Room 040 Level 9, Stony Brook, NY 11794. The listed phone number is (631) 444-6270.

What is Jean Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jean Peterson enrolled in Medicare?

Yes. Jean 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.

Is Jean Peterson affiliated with any hospitals?

According to CMS data, Jean Peterson is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Jean Peterson was last updated on April 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.