DR. REBECCA J PETERSEN DDS
NPI 1053791954
Dentist - General Practice in Woodbury, MN

Q: What is Rebecca Petersen's NPI number?

The NPI number for Rebecca Petersen is 1053791954. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Q: What is Rebecca Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Rebecca Petersen was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 04, 2015PECOS Enrolled

8325 SEASONS PARKWAY SUITE 103, HEALTHPARTNERS WOODBURY DENTAL, WOODBURY, MN 55125(651) 702-5848(651) 702-5870 Get Directions Write a Review

NPPES record last updated: October 30, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Dr. Rebecca J Petersen Dds NPPES

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

DR. REBECCA J PETERSEN DDS (NPI 1053791954) is an individual general practice provider in Woodbury, Minnesota, licensed in Minnesota (D13520) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053791954

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. REBECCA J PETERSENCredential: DDS

Location Address8325 SEASONS PARKWAY SUITE 103, HEALTHPARTNERS WOODBURY DENTALWoodbury, MN 55125-3477

Mailing Address8325 Seasons Parkway Suite 103, Healthpartners Woodbury DentalWoodbury, MN 55125-3477 · (651) 702-5848 · Fax (651) 702-5870

Phone(651) 702-5848

Fax(651) 702-5870

Sole ProprietorNo

Enumeration DateJune 4, 2015

Last NPPES UpdateOctober 30, 2017

✔ NPI 1053791954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MN · D13520

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8325 SEASONS PARKWAY SUITE 103, Woodbury, MN 55125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rebecca J Petersen Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rebecca Petersen's NPI number?

The NPI number for Rebecca Petersen is 1053791954. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Rebecca Petersen located?

Rebecca Petersen practices at 8325 Seasons Parkway Suite 103 Healthpartners Woodbury Dental, Woodbury, MN 55125. The listed phone number is (651) 702-5848.

What is Rebecca Petersen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Rebecca Petersen enrolled in Medicare?

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

What insurance does Rebecca Petersen accept?

Health plans from Humana list Rebecca 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.

When was this NPI record last updated?

The NPPES record for Rebecca Petersen was last updated on October 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.