NICOLLE LYNETTE PETERSON DO
NPI 1063709715
Internal Medicine in Omaha, NE

Active since July 01, 2011PECOS EnrolledAccepts Medicare Assignment
EMILE AT 42ND ST, OMAHA, NE 68198(402) 552-6731(402) 552-6730 Get Directions Write a Review

NPPES record last updated: August 15, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 15, 2017, May 11, 2016 (2 updates tracked since 2016).

About Nicolle Lynette Peterson Do NPPES

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

NICOLLE LYNETTE PETERSON DO (NPI 1063709715) is an individual internal medicine provider in Omaha, Nebraska, licensed in Nebraska (1647) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063709715
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNICOLLE LYNETTE PETERSONCredential: DO
Location AddressEMILE AT 42ND STOmaha, NE 68198-3406
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Fax(402) 552-6730
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 1, 2011
Last NPPES UpdateAugust 15, 20172 updates tracked since enumeration
NPI 1063709715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NE · 1647 Licensed in FL · OS13016
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 ListedFamily MedicineTaxonomy 207Q00000X · License 11016297A (IN)
Also ListedHospitalistTaxonomy 208M00000X · License OS13016 (FL)
EMILE AT 42ND ST, Omaha, NE 68198

Accepted Insurance

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

Nicolle Lynette Peterson Do 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 ID7113166604
PECOS Enrollment IDI20170825001063
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
198 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
102 services44 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
57 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Nurse Anesthetist, Certified Registered
EMILE AT 42ND ST
OMAHA, NE 68198
Internal Medicine (Cardiovascular Disease)
EMILE AT 42ND ST
OMAHA, NE 68198
Internal Medicine (Endocrinology, Diabetes & Metabolism)
EMILE AT 42ND ST
OMAHA, NE 68198
Internal Medicine (Cardiovascular Disease)
EMILE AT 42ND ST
OMAHA, NE 68198
Internal Medicine
EMILE AT 42ND ST
OMAHA, NE 68198
Nurse Practitioner
EMILE AT 42ND ST
OMAHA, NE 68198
Internal Medicine
EMILE AT 42ND ST
OMAHA, NE 68198
Nurse Practitioner
EMILE AT 42ND ST
OMAHA, NE 68198

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 Nicolle Peterson's NPI number?

The NPI number for Nicolle Peterson is 1063709715. It was assigned to this individual provider in the NPPES registry on July 1, 2011.

Where is Nicolle Peterson located?

Nicolle Peterson practices at Emile At 42nd St, Omaha, NE 68198. The listed phone number is (402) 552-6731.

What is Nicolle Peterson's specialty?

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

Is Nicolle Peterson enrolled in Medicare?

Yes. Nicolle 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.

What insurance does Nicolle Peterson accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Nicolle Peterson 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 Nicolle Peterson affiliated with any hospitals?

According to CMS data, Nicolle Peterson is affiliated with The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Nicolle Peterson was last updated on August 15, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.