ERICKA LESLIE PETERSEN CNP
NPI 1073063905
Nurse Practitioner - Family in Pierre, SD

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ericka Leslie Petersen Cnp NPPES

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

ERICKA LESLIE PETERSEN CNP (NPI 1073063905) is an individual family provider in Pierre, South Dakota, licensed in South Dakota (CP001145) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Avera St Mary's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073063905
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameERICKA LESLIE PETERSENCredential: CNP
Location Address100 MAC LNPierre, SD 57501-3391
Mailing Address100 Mac LnPierre, SD 57501-3391 · (605) 224-5901
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 4, 2016
Last NPPES UpdateOctober 23, 2018
NPI 1073063905 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 SD · CP001145
100 MAC LN, Pierre, SD 57501

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

Ericka Leslie Petersen Cnp 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 ID3476833625
PECOS Enrollment IDI20161206001648
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.
150 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
55 services55 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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Avera St Mary's Hospital

Acute Care Hospitals · Pierre, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430015
Location801 E SiouxPierre, SD 57501 · Hughes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier18 claims18 services$18.80 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier20 claims20 services$56.22 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers19 claims960 services$0.10 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$28.13 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$26.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacy (Clinic Pharmacy)
100 MAC LN, SUITE #2
PIERRE, SD 57501
Pharmacist (Pharmacotherapy)
100 MAC LN
PIERRE, SD 57501
Clinical Medical Laboratory
100 MAC LN
PIERRE, SD 57501
Pharmacy Technician
100 MAC LN
PIERRE, SD 57501
Pharmacy Technician
100 MAC LN, SUITE 2
PIERRE, SD 57501
Nurse Practitioner (Pediatrics)
100 MAC LN, AVERA MEDICAL GROUP PIERRE
PIERRE, SD 57501
Clinic/Center (Multi-Specialty)
100 MAC LN
PIERRE, SD 57501
Clinic/Center (Ambulatory Surgical)
100 MAC LN
PIERRE, SD 57501

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 Ericka Petersen's NPI number?

The NPI number for Ericka Petersen is 1073063905. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Ericka Petersen located?

Ericka Petersen practices at 100 Mac Ln, Pierre, SD 57501. The listed phone number is (605) 224-5901.

What is Ericka Petersen's specialty?

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

Is Ericka Petersen enrolled in Medicare?

Yes. Ericka 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.

What insurance does Ericka Petersen accept?

Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Ericka 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 Ericka Petersen affiliated with any hospitals?

According to CMS data, Ericka Petersen is affiliated with Avera St Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Ericka Petersen was last updated on October 23, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.